Governance and Regulation
Last Update May 10, 2024
Total Questions : 76
Why Choose CramTick
Last Update May 10, 2024
Total Questions : 76
Last Update May 10, 2024
Total Questions : 76
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AHIP AHM-510
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Health plans typically divide their costs into medical and administrative expenses. Examples of medical expenses are.
SoundCare Health Services, a health plan, recently conducted a situation analysis. One step in this analysis required SoundCare to examine its current activities, its strengths and weaknesses, and its ability to respond to potential threats and opportunities in the environment. This activity provided SoundCare with a realistic appraisal of its capabilities. One weakness that SoundCare identified during this process was that it lacked an effective program for preventing and detecting violations of law. SoundCare decided to remedy this weakness by using the 1991 Federal Sentencing Guidelines for Organizations as a model for its compliance program.
By definition, the activity that SoundCare conducted when it examined its strengths, weaknesses, and capabilities is known as
Determine whether the following statement is true or false:
Although most-favored-nation (MFN) clauses in contracts between health plans and healthcare providers are not per se illegal, they should be reviewed under the rule of reason analysis for antitrust purposes.
TESTED 11 May 2024
