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The Foxfire Health Plan, which has 20,000 members, contracts with dermatologists on a contact capitation basis. The contact capitation arrangement has the following features:
Foxfire distributes the money in the contact capitation fund once each quarter and the distribution is based on the point totals accumulated by each dermatologist.
Foxfire's per member per month (PMPM) capitation for dermatology services is $1.
The dermatologist receives 1 point for each new referral that is not classified as a complicated referral and 1.5 points for each new referral that is classified as complicated.
During the first quarter, Foxfire's PCPs made 450 referrals to dermatologists and 100 of these referrals were classified as complicated. One dermatologist, Dr. Shareef Rashad, received 42 of these referrals; 6 of his referrals were classified as complicated. Statements that can correctly be made about Foxfire's contact capitation arrangement include:
A. that the payment that Foxfire owed Dr. Rashad for the first quarter was $6,120
B. that the value of Foxfire's contact capitation fund for dermatologists for the first quarter was $20,000
C. all of the above
D. that the value of each referral point for the first quarter was $120
Answer: D
NEW QUESTION: 2
Beta a Certified Fraud Examiner (CFE), is conducting an admission-seeking interview of Gamma a fraud suspect Alter Beta gave Gamma an appropriate rationalization for his conduct Gamma continued his denials, giving various alibis. These alibis usually can be diffused by all of the following techniques EXCEPT.
A. Displaying physical evidence
B. Discussing Gamma's prior deceptions
C. Downplaying the strength of the evidence
D. Discussing the testimony of witnesses
Answer: C
NEW QUESTION: 3
Customers download videos by using HTTP clients that support various content encodings.
You need to configure caching on the DownloadVideo action to maximize performance.
Which attribute should you add?
A. Option D
B. Option E
C. Option C
D. Option B
E. Option A
Answer: D
NEW QUESTION: 4
If XYZ Auto Company sold 23,000 vehicles in 1999, how many were SUV's?
A. 3,450
B. 3,030
C. 4,760
D. 4,775
E. 2,990
Answer: E
Explanation:
Explanation/Reference:
Explanation:
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