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Question ID 17176

From the following answer choices, choose the term that best corresponds to this
description.
Barrington Health Services, Inc. contracts with a state Medicaid agency as a fiscal
intermediary. Barrington does not provide medical services, but contracts with medical
providers on behalf of the state Medicaid agency.

Option A

 Health insuring organization (HIO)

Option B

 Independent practice association (IPA)

Option C

Physician practice management (PPM) company

Option D

 Peer review organization (PRO)

Correct Answer A
Explanation


Question ID 17177

Brighton Health Systems, Inc., a health plan, wants to modify its advertising and marketing
materials to avoid liability risk under the principle of ostensible agency. One step that
Brighton can take to reduce the likelihood of being liable for provider negligence under the
theory of ostensible agency is to

Option A

Guarantee the quality of medical care provided to Brighton members

Option B

Use advertising materials which state that Brighton itself provides healthcare

Option C

Add disclaimers to advertising materials indicating that only physicians and not Brighton make medical decisions

Option D

 Use advertising materials to characterize Brighton's role as providing physicians, hospitals, and other healthcare professionals rather than arranging for healthcare.

Correct Answer C
Explanation

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