AHIP AHM-530 Exam - Topic 3 Question 135 Discussion

Question

The provider contract between the Regal Health Plan and Dr. Caroline Quill contains a type of termination clause known as termination without cause. One true statement about this clause is that it

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C) Allows either Regal or Dr. Quill to terminate the contract at any time, without any obligation to provide a reason for the termination or to offer an appeals process

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A) Requires Regal to send a report to the appropriate accrediting agency if the health plan terminates Dr. Quill's contract without cause

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B) Requires that Regal must base its decision to terminate Dr. Quill's contract on clinical criteria only

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D) Allows Regal to terminate Dr. Quill's contract at the time of contract renewal only, without any obligation to provide a reason for the termination or to offer an appeals process