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Question ID 17142

SoundCare Health Services, a health plan, recently conducted a situation analysis. One
step in this analysis required SoundCare to examine its current activities, its strengths and
weaknesses, and its ability to respond to potential threats and opportunities in the
environment. This activity provided SoundCare with a realistic appraisal of its capabilities.
One weakness that SoundCare identified during this process was that it lacked an effective
program for preventing and detectingviolations of law. SoundCare decided to remedy this
weakness by using the 1991 Federal Sentencing Guidelines for Organizations as a model
for its compliance program.
By definition, the activity that SoundCare conducted when it examined its strengths,
weaknesses, and capabilities is known as

Option A

An environmental analysis

Option B

An internal assessment

Option C

An environmental forecast

Option D

A community analysis

Correct Answer B
Explanation


Question ID 17143

The Hanford Health Plan has delegated the credentialing of its providers to the Sienna
Group, a credential verification organization (CVO). If the contract between Hanford and
Sienna complies with all of the National Committee for Quality Assurance (NCQA)
guidelines for delegation of credentialing, then this contract

Option A

 Transfers to Sienna all rights to terminate or suspend individual practitioners or providers in Hanford's provider network

Option B

Describes the process by which Hanford evaluates Sienna's performance in credentialing providers

Option C

Both A and B

Option D

A only

Option E

B only

Option F

Neither A nor B

Correct Answer C
Explanation

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