Multiple Choice
The following statements are about the negotiation process of provider contracting. Three of the statements are true and one of the statements is false. Select the answer choice containing the FALSE statement.
A) While preparing for negotiations, the health plan usually sends the provider an application to join the provider network, a list of credentialing requirements, and a copy of the proposed provider contract, which may or may not include the proposed reimbursement schedule.
B) In general, the ideal negotiating style for provider contracting is a collaborative approach.
C) Typically, the health plan and the provider negotiate the reimbursement arrangement between the parties before they negotiate the scope of services and the contract language.
D) The actual signing of the provider contract typically takes place after negotiations are completed.
Correct Answer:
Verified
Correct Answer:
Verified
Q65: Federal laws--including the Ethics in Patient Referrals
Q66: The Crimson Health Plan, a competitive medical
Q67: Health plans typically conduct two types of
Q68: An increasing number of health plans offer
Q69: The Gladspell HMO has contracted with the
Q71: For this question, if answer choices (A)
Q72: The following statements are about managed dental
Q73: The Pine Health Plan has incorporated pharmacy
Q74: The National Committee for Quality Assurance (NCQA)
Q75: Grant Pelham is covered by both a