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If the Oconee Health Plan Reimburses Its Specialty Care Physicians

Question 163

Multiple Choice

If the Oconee Health Plan reimburses its specialty care physicians (SCPs) under a typical retainer method, then Oconee pays SCPs


A) Aseparate amount for each service provided, and the payment amount is based solely on a resource-based relative value scale (RBRVS)
B) Aspecified fee that remains the same regardless of how much or how little time or effort is spent on the medical service performed
C) Aset amount each month, and Oconee reconciles its payment at periodic intervals on the basis of actual utilization
D) Aset amount of cash equivalent to a defined time period's expected reimbursable charges

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