HE380 Exam 3
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School
Arizona Western College *
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Course
EDU-210
Subject
Health Science
Date
May 10, 2024
Type
docx
Pages
7
Uploaded by eabcontaoe1983
[03] Lesson 3 Exam - Results
Attempt 1 of 2
Written May 9, 2024 12:07 AM - May 9, 2024 12:31 AM
Attempt Score
75 / 100 - 75 %
Overall Grade (Highest Attempt)
75 / 100 - 75 %
stion 1
5 / 5 po
What type of physician contraction situation is a common type, where the physician contracts directly with the health plan?
Question options:
Individual Physicians
Traditional Medical Groups
Group Practice Without Walls
Independent Practice Association
on What party or individual is responsible for credentialing of physicians?
Question options:
The medical director
Vice president of networks
None of the above
Both a & b
on Which of the following is NOT an example of a nonphysician professional?
Question options:
Nurses
Pharmacists
Laboratory technician
Anesthesiologist
on How many basic elements of a provider contract exist?
Question options:
3
4
5
6
on This concept is considered a legally binding document that defines the terms, conditions, and obligations to which both parties have agreed.
Question options:
Contract
Medical record
Privacy authorization
Assessments
on Which concept is the defined geographic area in which the plan provides access to primary and specialty care, hospital care, emergency care, and certain other health services?
Question options:
Attachments
Appendices
Nondiscrimination
Service area
on What concept sets minimum requirements for training, current
certifications and licensure, and may uncover potentially adverse actions levied against a physician?
Question options:
Accreditation
Licensure
Credentialing
Certification
on What is considered the backbone of any managed healthcare plan?
Question options:
Individuals
Payer network
Hospitals
Provider network
on What basic element of the provider contract explains how the provider is to submit claims and that the claims will be submitted to the payer and not the member?
Question options:
Qualifications and credentials
Direct and timely submission of claims
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