During the Credentialing Process, a Health Plan Verifies the Accuracy

question 102

Multiple Choice

During the credentialing process, a health plan verifies the accuracy of information on a prospective network provider's application. One true statement regarding this process is that the health plan

• A) has a legal right to access a prospective provider's confidential medical records at any time
• B) must limit any evaluations of a prospective provider's office to an assessment of quantitative factors, such as the number of double-booked appointments a physicianaccepts at the end of each day
• C) is prohibited by law from conducting primary verification of such data as a prospective provider's scope of medical malpractice insurance coverage and federal tax identification number
• D) must complete the credentialing process before a provider signs the network contract or must include in the signed document a provision that the final contract is contingent upon the completion of the credentialing process

Recognize the significance of the time period assumption in accounting.

Understand the treatment and impact of prepaid expenses and unearned revenue on financial statements.

Calculate financial statement impacts of adjustments, including depreciation and adjustments for prepaid and accrued items.

Prepare adjusting journal entries for a variety of transactions.

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Definitions:

Herbal Remedies

Treatments derived from plants and their extracts, used in traditional medicine to prevent or cure diseases.

Mexican Heritage

The cultural, social, and historical traits and traditions passed down by generations of Mexican ancestry.

Teaching Environment

A setting or context wherein instruction, learning, and development occur, often facilitated by educators or trainers.

Eye Contact

The act of looking directly into another individual's eyes, which is an important element of non-verbal communication and can convey various messages and emotions.