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Question ID 17158	Several states have adopted clinical practice guidelines for treating workers' compensation injuries. Clinical practice guidelines can best be described as
Option A	Fee schedules that specify the maximum amount providers may charge for treating workers' compensation patients
Option B	A utilization management and quality management mechanism designed to aid providers in making decisions about the most appropriate course of treatment for a specific case
Option C	Detailed plans of medical treatment designed to facilitate a patient's return to the workplace
Option D	Payment practices that might technically violate the provisions of the anti-kickback statute but that will not be considered illegal and for which providers and health plans will not be subject to penalties
Correct Answer	B

Explanation

Question ID 17159	The Sawgrass Health Center is an institution that trains healthcare professionals and performs various clinical and other types of healthcare-related research. Because Sawgrass receives government funding, it is required to provide medical care for the poor. Of the following types of health plans, Sawgrass can best be described as:
Option A	A medical foundation
Option B	An academic medical center (AMC)
Option C	A healthcare cooperative
Option D	A community health center (CHC)
Correct Answer	B

Explanation

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