You must tell her that a Private Fee-for-Service (PFFS) plan may affect her access to services to vary the provider's pay rates solely based on the provider's specialty or location or to increase usage of certain preventive or sorting
<h3>What is the Private Fee-For-Service (PFFS) plan?</h3>
A Private Fee-For-Service (PFFS) plan is a Medicare Advantage (MA) health plan offered by a state-licensed risk entity that has an annual contract with the Centers for Medicare & Medicaid Services (CMS) to provide all your Medicare benefits, in addition to any additional benefits the company chooses to provide, to beneficiaries. The PFFS plan:
• Pays providers on a fee-for-service basis without putting providers at financial risk
• Vary provider payment rates solely based on provider specialty or location or to increase utilization of certain preventive or screening services
• Does not restrict participants' choice among providers legally authorized to provide services and accept the plan's payment terms and
• Does not allow the use of prior authorization or notification.
With this information, we can conclude that you must tell her that a Private Fee-for-Service (PFFS) plan may affect her access to services to vary the provider's pay rates solely based on the provider's specialty or location or to increase usage of certain preventive or sorting
Learn more about Private Fee-for-Service (PFFS) in brainly.com/question/15210823
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Answer:
1: B.
2: B.
Explanation:
Let's have another look at the options to clarify, and use the process of elimination.
1.
A. The reason why this response is incorrect is a bit more complicated than the others. If the boy was 13, he could legally consent to sex with another person as long as they are between 13-17. Says the ASPE, "Individuals who are at least 13 years of age can legally engage in sexual activities if the defendant is less than 4 years older than the victim". However, since the boy is only 12, he cannot legally consent.
C. Not saying "no" does not grant consent. The person in question must specifically say "yes" to give consent.
D. A 13 year old girl cannot legally grant consent to a 20 year old. The age of consent in America and most other countries is 18, meaning anyone under 18 cannot grant consent to anyone who is 18 and older.
2.
A. Saying "no" out loud does not grant consent. The boy is clearly refusing. Also, he is only 11, so he could not consent anyway.
C. This answer would depend on context, like how intoxicated the girl is and whether she approached someone or someone approached her, etc. However, considering there is a more applicable answer, like B, it is safe to rule C out.
D. Once again, someone under the age of 18 cannot grant consent to anyone 18 and older.
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