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Reconciliation is the process by which a health plan assesses providers' performance relative to contractual terms and reimbursement.
With regard to this process, it can correctly be stated that
A. Ahealth plan typically should not conduct reconciliation for a provider until the plan has received all claims or other documentation of services that the physician provided during the evaluation period
B. Most agreements between health plans and providers require reconciliations to be performed quarterly
C. Ahealth plan typically should conduct a reconciliation immediately after the evaluation period has ended
D. Areconciliation typically includes payment to the providers of any withholds or bonuses due to them
Answer: D
NEW QUESTION: 2
Eine Testbewertung wurde unter Verwendung des ausgewählten Modells als Referenzrahmen durchgeführt. Eine Reihe von Empfehlungen wurde identifiziert und Sie werden gebeten, diese zu priorisieren. Aufgrund Ihrer Kenntnisse über das Projekt erwarten Sie erheblichen Widerstand gegen Veränderungen. Welches der folgenden Kriterien wäre das wichtigste Auswahlkriterium für die Festlegung der Priorität der Empfehlungen? 2 Credits
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Referring to the exhibit,
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B. Frames will be counted by filterB only.
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Answer: B,E
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