47. Another name for the False Claims Act is:

A. Whistle Blowers Act

B. Healthcare Management Act

C. Consumer Protection Act

D. Health Insurance Portability & Accountability Act

48. A member, covered under a POS plan, has a 7 day inpatient stay at an in-network hospital. The contract between the health plan and the hospital has a stepped per diem, where approved Days 1-3 are paid at $2,000, Days 4-6 are paid at $1,500, and Days 7 thru discharge are paid at $1,000. During concurrent review of this stay, the health plan denied day 5, allowing no payment for that day. How much will the hospital receive for this members stay, assuming the hospital does not appeal the denial?

A. $10,500

B. $10,000

C. $11,500

D. Not enough information available to answer