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In Preparation for Its Expansion into a New Service Area

Question 182

Multiple Choice

In preparation for its expansion into a new service area, the Regal MCO is meeting with Dr. Nancy Buhner, a cardiologist who practices in Regal's new service area, in order to convince her to become one of the plan's participating providers. As part of the


A) ensure that Dr. Buhner complies with all of the provisions of the Ethics in Patient Referrals Act
B) learn whether Dr. Buhner is a licensed medical practitioner
C) confirm Dr. Buhner's membership in the National Committee for Quality Assurance (NCQA)
D) learn whether Dr. Buhner has had a medical malpractice claim filed or other disciplinary actions taken against her

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