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NEW QUESTION: 1
Arthur Dace, a plan member of the Bloom health plan, tried repeatedly over an extended period to schedule an appointment with Dr. Pyle, his primary care physician (PCP). Mr. Dace informally surveyed other Bloom plan members and found that many people were experiencing similar problems getting an appointment with this particular provider. Mr. Dace threatened to take legal action against Bloom, alleging that the health plan had deliberately allowed a large number of patients to select Dr. Pyle as their PCP, thus making it difficult for patients to make appointments with Dr. Pyle.
Bloom recommended, and Mr. Dace agreed to use, an alternative dispute resolution (ADR) method that is quicker and less expensive than litigation. Under this ADR method, both Bloom and Mr. Dace presented their evidence to a panel of medical and legal experts, who issued a decision that Bloom's utilization management practices in this case did not constitute a form of abuse. The panel's decision is legally binding on both parties.
Different types of compensation arrangements in managed care plans, from fee-for-service (FFS) arrangements to capitation arrangements, lead to different types of fraud and abuse. From the answer choices below, select the response that identifies the form of abuse in which Bloom is allegedly engaging, according to Mr. Dace's complaint, and whether this form of abuse is more likely to occur in FFS compensation arrangements or in capitation arrangements.
A. Type of abuse overutilization Type of compensation arrangement capitation arrangement
B. Type of abuse overutilization Type of compensation arrangement FFS arrangement
C. Type of abuse underutilization Type of compensation arrangement capitation arrangement
D. Type of abuse underutilization Type of compensation arrangement FFS arrangement
Answer: C
NEW QUESTION: 2
Um den Satz zu vervollständigen, wählen Sie die entsprechende Option im Antwortbereich.
Answer:
Explanation:
NEW QUESTION: 3
You have two servers named Server1 and Server2 that run Windows Server 2016.
Server1 and Server2 are nodes in a Network Load Balancing (NLB) cluster. The Web Server role is installed on each node.
Users report that when they submit web form data, sometimes the data is not stored, and they must fill in the form again.
You need to resolve the issue. The solution must ensure that connections are load balanced between Server1 and Server2.
What should you do in the NLB cluster?
A. Add the Microsoft Load Balancing/Failover Provider service to all of the network adapters.
B. Modify the existing port rules.
C. Add an IP address.
D. Modify the Cluster operation mode.
Answer: D
NEW QUESTION: 4
Dynamics 365 for Customer Serviceシステム管理者を食べました。リードのフォローアップ活動を自動化するためにカスタマイズが必要なワークフローを作成します。
実稼働環境のカスタマイズをこの新しいDynamics 365実稼働インスタンスに移行する必要があります。本番インスタンスにデータを移行しないでください。
どの5つのアクションを順番に実行する必要がありますか?回答するには、適切なアクションをアクションのリストから回答エリアに移動し、正しい順序に並べます。
Answer:
Explanation:
1 - In Dynamics 365 admin center select the Instance lab.
2 - Select the Production instance and click Copy.
3 - Select the Target instance.
4 - Select Minimal Copy
5 - In the Copy Instance page, select Copy
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