Chapter 10 Pagliarulo review questions
1. Prospective is to be paid before the treatment and retrospective is after the treatment is
received.
2. Covered by a health insurance plan.
3. They purchase a health insurance plan from an insurer.
4. Malpractice insurance
5. They restrict access to health care in certain ways.
6. It cut the reimbursement amount by 1.7 million dollars.
7. They are the third party in the reimbursement process.
8. They can get paid before the treatment instead of going through the third party to make sure
they get paid.
9. They control the reimbursement amount and the coverage offered by Medicare and Medicaid.
10. By paying the cost of what the insurance won’t cover or pay for treatments that are not
covered.
