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NEW QUESTION: 1
You need to set up quotes to meet the requirements.
How should you configure the quotes? To answer, select the appropriate options in the answer area.
NOTE: Each correct selection is worth one point.
Answer:
Explanation:
Explanation
NEW QUESTION: 2
Each of the following statements describes a health plan that is using a method of managing institutional utilization. Select the answer choice that describes a health plan's use of retrospective review to decrease utilization of hospital services.
A. The Serenity Healthcare Organization requires a plan member or the provider in charge of the member's care to obtain authorization for inpatient care before the member is admitted to the hospital.
B. UR nurses employed by the Friendship Health Plan monitor length of stay to identify factors that might contribute to unnecessary hospital days.
C. The Optimum Health Group evaluates the medical necessity and appropriateness of proposed services and intervenes, if necessary, to redirect care to a more appropriate care setting.
D. The Axis Medical Group examines provider practice patterns to identify areas in which services are being underused, overused, or misused and designs strategies to prevent inappropriate utilization in the future.
Answer: D
NEW QUESTION: 3
A. Option D
B. Option C
C. Option A
D. Option B
Answer: D
Explanation:
Classification properties are used to assign values to files.
Reference: Working with File Classification
NEW QUESTION: 4
An internal audit activity implemented an integrated test facility to test payroll processing.
The auditors identified the key controls and processing steps built into the computer program and developed test data to test them. The auditors submitted test transactions throughout the year and did not find any differences in their test results. The auditors can conclude that:
A. The computer application and its control procedures were processing payroll transactions correctly during the past year.
B. All of the above.
C. All employees were correctly paid during the year and their pay was correctly computed.
D. The system is properly capturing the hours worked by employees during the year and the hours have been properly submitted to payroll and processed correctly.
Answer: A
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