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
Correct Answer:
Verified
Q116: All CDHP products provide federal tax advantages
Q177: Immediate evaluation and treatment of illness or
Q178: If most of the physicians, or many
Q179: In addition to the credentialing activities that
Q180: Health plans may use different capitation arrangements
Q181: In health plan terminology, demand management, as
Q183: In order to compensate for lost revenue
Q184: In order to help review its institutional
Q187: In large health plans, management functions such
Q190: In most cases, medical errors are caused
Unlock this Answer For Free Now!
View this answer and more for free by performing one of the following actions
Scan the QR code to install the App and get 2 free unlocks
Unlock quizzes for free by uploading documents