In Addition to the Credentialing Activities That a Health Plan

question 186

Multiple Choice

In addition to the credentialing activities that a health plan performs when initially accepting a provider into its network, the health plan must also perform recredentialing of the same providers on an ongoing basis. Many of the same activities are per

• A) verification of a network provider's medical education and residency
• B) performance of site inspections in a provider's facilities
• C) review of information from a provider's quality improvement activities
• D) verification of a provider's licensure and certification

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Definitions:

Genetic Differences

Variations in the genes among individuals or populations, which contribute to the biodiversity and heritable traits within species.

Migratory Orientation

The innate or learned ability of animals, particularly birds, to navigate and migrate over long distances across changing environments.

DNA Methylation

A biochemical process involving the addition of a methyl group to the DNA molecule, affecting gene expression without changing the DNA sequence.

Epigenetic Modification

Chemical changes to the DNA or histones that affect gene expression without altering the DNA sequence, influenced by environmental factors.