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NEW QUESTION: 1
The Justice Health Plan is eligible to submit reportable actions against medical practitioners to the National Practitioner Data Bank (NPDB). Justice is considering whether it should report the following actions to the NPDB: Action 1-A medical malpractice insurer made a malpractice payment on behalf of a dentist in Justice's network for a complaint that was settled out of court.
Action 2-Justice reprimanded a PCP in its network for failing to follow the health plan's referral procedures.
Action 3-Justice suspended a physician's clinical privileges throughout the Justice network because the physician's conduct adversely affected the welfare of a patient.
Action 4-Justice censured a physician for advertising practices that were not aligned with Justice's marketing philosophy.
Of these actions, the ones that Justice most likely must report to the NPDB include Actions
A. 2 and 4 only
B. 3 and 4 only
C. 1 and 3 only
D. 1, 2, and 3 only
Answer: C

NEW QUESTION: 2
A health services delivery organization that offers the option to its members to choose to receive a service from participating or a non-participating provider. Which one of the best suits to this definition?
A. Point-of-service plan
B. Health maintenance organization (HMO)
C. Preferred provider organization (PPO)
D. Independent practice Association (IPA) or organization (IPO)
Answer: A

NEW QUESTION: 3
You are managing a complex portfolio with high risk levels due to emerging technological breakthroughs and a short benefit window to market your product. You know that managing risk is key to success and you are coaching your team on the same. You are currently developing the Risk Management Plan. What can you use as inputs to this process?
A. Portfolio Management Plan, Organizational Process Assets, Portfolio Process Assets, Portfolio
B. Portfolio Management Plan, Organizational Process Assets, Portfolio Reports, Enterprise Environmental Factors
C. Portfolio Management Plan, Organizational Process Assets, Portfolio Process Assets, Enterprise Environmental Factors
D. Portfolio Management Plan, Portfolio, Portfolio Reports, Enterprise Environmental Factors
Answer: C
Explanation:
Explanation
The answer to this question is Portfolio Management Plan, Organizational Process Assets, Portfolio Process Assets, Enterprise Environmental Factors

NEW QUESTION: 4
Which definition best describes the usage of the Security Groups application?
A. The Security Groups application is used to define groups of security privileges.
B. Security privileges are determined in the Person application. The Security Groups application is used to bundle these security privileges into groups.
C. Security Groups is the application where the rights and permissions for each individual end user can be granted.
D. Security Groups is where the Person application is defined.
Answer: A