MCO in Medical Billing
MCO stands for Managed Care Organization, a group that provides health insurance services through a network of providers and manages the cost, quality, and access to healthcare.
MCO in Medical Billing Explained
In medical billing, MCOs contract with healthcare providers to deliver care to their members at predetermined rates. MCOs oversee the reimbursement process and ensure that care is provided within the network and according to the plan’s guidelines.
For example, a healthcare provider contracts with an MCO to provide services to patients at agreed-upon rates.
Check acronyms and abbreviations in Medical billing glossary.
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