One Important Aspect of Network Management Is Profiling, or Provider

question 60

Multiple Choice

One important aspect of network management is profiling, or provider profiling. Profiling is most often used to

• A) measure the overall performance of providers who are already participants in the network
• B) assess a provider's overall satisfaction with a plan's service protocols and other operational areas
• C) verify a prospective provider's professional licenses, certifications, and training
• D) familiarize a provider with a plan's procedures for authorizations and referrals

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Definitions:

Control Group

In an experiment, a group of subjects that does not receive the treatment being tested and is used as a benchmark to measure how the other tested subjects do.

Dependent Variable

In scientific research, the variable that is tested and measured; it is 'dependent' on the independent variable.

Fat Layer

A layer in the body composed primarily of adipose tissue, which stores energy and insulates and cushions the body.

Polar Bear's Skin

The black skin of a polar bear, hidden beneath its transparent, hollow fur, which helps in absorbing sunlight to keep the bear warm in cold environments.