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

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[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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