Which is the most appropriate method in handling the termination of patients a medical practice within an HMO?
A) The payer decides to terminate the relationship, sends a certified letter to the patient and the PCP, then receives the signed letters back from both patient and PCP.
B) The PCP sends a certified letter to the patient and the patient sends the signed letter back.
C) The PCP asks the payer for permission, then sends a certified letter to the patient, and receives the signed letter back from the patient.
D) The payer sends a certified letter to the patient and receives the signed letter back from the patient.

Question

Quizplus · Accepted Answer

The most appropriate method involves the Primary Care Provider (PCP) initiating the termination process by first seeking permission from the payer (HMO), then sending a certified letter to the patient, and finally receiving the signed letter back from the patient. This ensures proper communication and documentation between all parties involved.

Which Is the Most Appropriate Method in Handling the Termination