The amount withheld from a provider's payment by an MCO is called
A) allowed charge.
B) capitation rate.
C) provider withhold.
D) contractual discount.

Question

Quizplus · Accepted Answer

The amount withheld from a provider's payment by a Managed Care Organization (MCO) is referred to as a "provider withhold." This is a portion of the payment that is held back and may be paid out later based on specific criteria or performance measures being met.

The Amount Withheld from a Provider's Payment by an MCO