The Provider Contract That Dr

question 168

Multiple Choice

The provider contract that Dr. Nick Mancini has with the Utopia Health Plan includes a clause that requires Utopia to reimburse Dr. Mancini on a fee-for-service (FFS) basis until 100 Utopia members have selected him as their primary care provider (PCP) . At that time, Utopia will begin reimbursing him under a capitated arrangement. This clause in Dr. Mancini's provider contract is known as:

• A) an antidisparagement clause
• B) a low-enrollment guarantee clause
• C) a retroactive enrollment changes clause
• D) an eligibility guarantee clause

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Definitions:

Cholinergic Synapse

A synapse that uses acetylcholine as its neurotransmitter, facilitating communication between neurons in the nervous system.

Synaptic Cleft

The small gap between neurons at a synapse, across which neurotransmitters are released to transmit neuronal signals.

ACh

Acetylcholine (ACh) is a neurotransmitter involved in muscle activation, memory, and learning by transmitting signals between nerve cells.

Neurotransmitters

Neurotransmitters are chemical messengers that neurons use to communicate with each other or with muscles across synapses.