One important aspect of network management is profiling, or provider profiling. Profiling is most often used to
A) measure the overall performance of providers who are already participants in the network
B) assess a provider's overall satisfaction with a plan's service protocols and other operational areas
C) verify a prospective provider's professional licenses, certifications, and training
D) familiarize a provider with a plan's procedures for authorizations and referrals

Question

Quizplus · Accepted Answer

Profiling is used to measure the overall performance of providers who are already participants in the network. This can include assessing their clinical outcomes, utilization patterns, and patient satisfaction. It is an important tool for network managers to identify areas of improvement and manage provider performance. The other options are not typically associated with profiling.

One Important Aspect of Network Management Is Profiling, or Provider