The Justice Health Plan Is Eligible to Submit Reportable Actions

question 77

Multiple Choice

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) 1, 2, and 3 only
• B) 1 and 3 only
• C) 2 and 4 only
• D) 3 and 4 only

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Definitions:

Segment Profitability

The measure of profit or loss generated by a specific market segment, indicating its financial viability.

Marketing Strategy

A business's overall game plan for reaching potential consumers and turning them into customers of their products or services.

Office Supplies

Items and equipment used in offices for proper functioning and operations, including stationary, computers, and furniture.

Segment Adoption Percentage

The proportion of a market segment that has adopted or started using a particular product or service.