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NEW QUESTION: 1
The provider contract that the Canyon health plan has with Dr. Nicole Enberg specifies that she cannot sue or file any claims against a Canyon plan member for covered services, even if Canyon becomes insolvent or fails to meet its financial obligations. The contract also specifies that Canyon will compensate her under a typical discounted fee-for-service (DFFS) payment system.
During its recredentialing of Dr. Enberg, Canyon developed a report that helped the health plan determine how well she met Canyon's standards. The report included cumulative performance data for Dr. Enberg and encompassed all measurable aspects of her performance. This reportincluded such information as the number of hospital admissions Dr. Enberg had and the number of referrals she made outside of Canyon's provider network during a specified period. Canyon also used process measures, structural measures, and outcomes measures to evaluate Dr. Enberg's performance.
The report that helped Canyon determine how well Dr. Enberg met the health plan's standards is known as:
A. Aprovider profile
B. An encounter report
C. An external standards report
D. An access to care report
Answer: A
NEW QUESTION: 2
Your customer needs to be able to show reports by department to each department manager, and also to show overall company wide reports to auditors. Auditors need to be able to generate reports whenever needed, but are NOT allowed any other identity management permissions.
When designing a reporting structure, which TWO of the following considerations will be needed?
A. Create a set of access control items that scope the objects accessible to managers and auditors.
B. Use the Tivoli Common Reporting component to build out the customized reports.
C. Set up a view in the administration GUI that shows reporting and data synchronization.
D. Use the object properties in the organizational structure to grant administration domain authority to each department manager.
E. Design a customized SSUI view that allows auditors to view reports.
Answer: C,E
NEW QUESTION: 3
Identify two fields whose tolerance levels are ignored when data is entered while creating receipts using Enforce Blind Receiving.
A. Receiving Date
B. UOM
C. ReceivingQuantity
D. Packing Slip
E. Waybill
Answer: A,C
Explanation:
Tolerances (if set up) for the Receipt Date and Receipt Quantity are ignored.
Reference:https://docs.oracle.com/cd/E18727_01/doc.121/e13409/T207713T208957.htm
