HOM 5307 Exam 2 Set 2 Questions with Correct Answers

HOM 5307 Exam 2 Set 2 Questions with Correct Answers A set of causes and conditions that come together in a series of steps to transfer inputs into outcomes is called Structure T or F: It is important for all CSRs to be able to address all aspects of plan operations. False T or F: Providers, employers, agents, and members expect many health plan services to be available online. The preferred approach to allow access is through web-portals and interactive voice response systems. True T or F: All accredited health plans are required to report on their clinical performance through HEDIS. False To earn NCQA accreditation, an organization must meet rigorous _________ standards designed to ensure that this key health plan function promotes good medicine rather than acting as an arbitrary barrier to care. Utilization management