Conduct primary verification of physician credentials

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Reference no: EM132222201

1. Managed care plans typically perform onsite reviews of hospitals and ambulatory surgical centers.

True

False

2. An IDS can be described as a legal entity consisting of more than one type of provider to manage a population’s health care and/or contract with a payer organization.

True

False

3. State and federal regulations consistently apply network access (network adequacy) standards to:

HMOs

POS plans

PPOs

a and b only

All of the above

4. Which of the following organizations may conduct primary verification of a physician’s credentials?

An HMO

A PPO

A CVO

5. An accreditation organization such as NCQA, URAC or AAAHC

All of the above

a, b and c only

6. Which of the following is not a common form of IDS:

PHO

MSO

PSO

POS

Reference no: EM132222201

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