Question

Unit 3: Unit 3: Corporate Liability Issues - Discussion

 

Managed Care Organizations

Please review the Discussion Board grading rubric in the course Syllabus.

where does the liability lie for the managed care organization when the MCO personnel make decisions about insurance coverage for hospital stays?

Please do not limit your analysis to length of stay, but consider other scenarios associated with MCO decision making such as approval or denial of medically necessary treatment (or limitations of treatment) as well, and share your scenarios with the class. Defend your response thoroughly and include the potential liability implications. Lastly, discuss the options, if any, MCO or PPO plan members have when denied coverage for medically necessary care.

Grade: University | Subject: Business
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Managed Care Organisation

A managed care organisation was an organisation which reduces the unwanted costs for the health care and that includes the incentives of economic for the patients and the physicians…

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