QUESTION: 45

The NPDB specifies the entities that are eligible to request information from the data bank, as well as the conditions under which requests are allowed. In general, entities that are eligible to request information from the NPDB include

medical malpractice insurers and the general public
medical malpractice insurers and professional societies that are screening applicants for membership
the general public and state licensing boards
state licensing boards and professional societies that are screening applicants for membership

Answer(s): D

Reveal Solution Next Question

QUESTION: 46

Participating providers in a health plan's network must undergo recredentialing on a regular basis. During recredentialing, a health plan typically reviews

a provider's current, updated application information, as well as provider's peer reviews and performance reports on the provider
a provider's current, updated application information, as well as the provider's education and prior work history
a provider's education and prior work history only
peer reviews and performance reports on a provider and the provider's prior work history only

Answer(s): A

Reveal Solution Next Question

QUESTION: 47

With respect to hiring practices, one step that a health plan most likely can take to avoid violating the terms of the Americans with Disabilities Act (ADA) is to

Require a medical examination prior to accepting an application for employment
Include in the employment application questions pertaining to health status
Make a conditional offer of employment, and then require the candidate to have an examination prior to granting specific staff privileges
Require applicants to answer questions pertaining to the use of drugs and alcohol 21

Answer(s): C

Reveal Solution Next Question

QUESTION: 48

Determine whether the following statement is true or false:

The NCQA has established a Physician Organization Certification (POC) program for the purpose of certifying medical groups and independent practice associations for delegation of certain NCQA standards, including data collection and verification for credentialing and recredentialing.

True
False

Answer(s): A

Reveal Solution Next Question

Free AHM-530 Exam Braindumps (page: 13)

QUESTION: 45

QUESTION: 46

QUESTION: 47

QUESTION: 48

AHM-530 Discussions & Posts