Member Doug enrolled in a Health Maintenance Organization (HMO) MA Plan. He saw an out-of-network provider and received a bill for the entire cost of the visit. Doug called Medicare to complain and stated he was never told about these types of costs. What should the agent have explained better to Doug when he was enrolling in the plan

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Answer 1

The agent have explained better to Doug when he was enrolling in the plan was explanation of cost to the customer.

An out of network provider has not signed contract with the organisation accept rembursments rate payment as full after the completion of contract. Sometimes this results in high price cost payments.

In a project it is usually involves five types of cost namely direct cost, indirect cost, fixed cost, variable cost and sunk cost.

Direct costs are related directly with the work or project associated that is entire cost of the project. Indirect cost are cost associated with projects like material costs etc determining the types of cost. Out of network provider is another level where some another organisation tend to deal with the costs involved.

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Related Questions

Monitoring the performance of risk handling actions is involved in which step of the risk management process?

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Fourth step

In step 4 of the risk management process comes Risk monitoring, Monitoring the status of risks, monitoring the effectiveness of mitigation plans implemented, and consulting with key stakeholders are all parts of the risk monitoring step. Risk monitoring should happen throughout the risk management process.

The risk management process is a outline for the actions that need to be taken. There are Five basic steps which are referred to as the RISK MANAGEMENT PROCESS.

All the five steps of this process are as follow;

Step 1: Risk identification

Step 2: Risk assessment

Step 3: Risk mitigation

Step 4: Risk monitoring

Step 5: Risk reporting

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The type of distribution system in which intermediaries are independent but agree to cooperate are participating in a(n):______.

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Answer:

Contractual distribution system.

Explanation:

A distribution system consists of all the facilities and equipment connecting a transmission system to the customer's equipment. A typical distribution system can consist of: Substations. Distribution Feeder Circuits. Switches.

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The type of distribution system in which intermediaries are independent but agree to cooperate are participating in a contractual distribution system. (b) is correct option.

We impose entry requirements on people and companies to guarantee that the securities and futures market in Hong Kong operates in accordance with high standards. We also demand adherence to secondary regulatory standards for intermediaries as well as the Securities and Futures Ordinance. Therefore, through our licensing and intermediates supervisory activities, our Intermediaries Division contributes significantly to the SFC's aim of promoting the integrity and soundness of the Hong Kong stocks and futures markets.

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Jose has been asked to conduct a needs assessment for an operational department. What is the first logical step he should take?

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Jose should recommend a solution.

An operational assessment is an evaluation that evaluates an operation's current methods, equipment, software, structures, format, employees, stock blend, managing practices, and extra to perceive opportunities for development.

Needs assessment is essential as it helps a corporation decide the gaps which might be preventing it from accomplishing its favored desires. In A manual to performing a wishes assessment and a gap evaluation, Anthony J. Jannetti says these gaps can exist in either knowledge, practices, or abilities.

Operational needs are described as "non-procedural-based obligations that eat staffing resources." The difference between those and indirect-effort tasks are those are further eliminated from the trying-out process and are an awful lot more operational in nature. Examples include deliberate day off (PTO) Unplanned time without work.

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In the open-economy macroeconomic model, the source of the supply of loanable funds is:_______

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In the open-economy macroeconomic model, the source of the supply of loanable funds is national savings.

The demand for loanable funds comes from domestic investment (I) and net capital outflows (NCO). The delivery and demand for a loanable budget depend on the actual interest price. A higher real interest rate encourages people to store, i.e. growth the supply of loanable funds.

The delivery of loanable funds comes from people and groups, together with government and businesses, that have determined not to spend some of their cash, however as a substitute, store it for funding functions. One way to make an investment is to lend money to debtors at a rate of interest.

The deliver of loanable price range represents the behavior of all the savers in an economy. The better interest price that a saver can earn, the much more likely they're to store cash. As such, the supply of loanable finances suggests that the quantity of savings to be had will increase as the interest charge will increase.

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Sam’s experience is that hard work today leads to a bigger paycheck. Reinforcement theory suggests he feels encouraged to?

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is this the answer given to this problem Keep an even pace at work.

Not work as hard.

Work harder.

Sam’s experience is that hard work today leads to a bigger paycheck. The reinforcement theory suggests he feels encouraged to Keep an even pace at work, not work as hard, and Work harder.

What is Reinforcement Theory?

A psychological theory called reinforcement theory contends that actions have consequences and that reinforcement, punishment, and extinction are all effective ways to alter behavior.

Modern concepts concerning reinforcement theory were greatly influenced by behavioral psychologist B.F. Skinner.

By rewarding a behavior, positive reinforcement aims to make that behavior more frequent. For instance, if a worker spots a lucrative new market opportunity, her employer can reward her with a bonus. The desired behavior will be positively reinforced by this.

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Under a perpetual inventory system, the amount of each type of merchandise on hand is available in the a.customer's ledger b.purchase ledger c.inventory ledger d.creditor's ledger

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Option D. Under a perpetual inventory system, the amount of each type of merchandise on hand is available in the  inventory ledger.

What is the inventory ledger?

This is the ledger or the stock of inventory that is able to track all of the transactions that are done in the inventory of the business firm. The inventory is one that tells one of the stock of goods in the firm and this has to match up with what is available in the general ledger of the firm.

The inventory ledger is used by putting the date that the purchases where made in the columns that they should be found. also the description of the ledger has to be entered in the part that says description.

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Economists generally assume that there is a short-run trade-off between deflation and unemployment. output and employment. output and growth. inflation and unemployment. inflation and employment

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In the short run, higher unemployment leads to lower inflation, and lower unemployment leads to higher inflation, so there is a trade-off.

Society faces a short-run tradeoff between unemployment and inflation. If policymakers enlarge combination demand, they can lower unemployment, however simplest on the price of better inflation. in the event that they settle aggregate demand, they can lower inflation, however at the fee of temporarily higher unemployment.

Consistent with economists, there may be no trade-off between inflation and unemployment in the end. Decreases in unemployment can result in increases in inflation, however best in the brief run. In the end, inflation and unemployment are unrelated.

In economics, inflation is a general increase in the prices of products and services in an economic system. While the general price level rises, every unit of currency buys fewer items and services; consequently, inflation corresponds to a discount in the buying energy of money.

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Jason is a very efficient and driven manager who makes all the decisions himself. He comes across as a very assertive person who often directs his employees on what needs to be done. To motivate his employees, he mostly uses monetary bonuses as rewards. In this scenario, Jason can be regarded as a(n) ________ leader.

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Jason is a very efficient and driven manager who makes all the decisions himself. He comes across as a very assertive person who often directs his employees on what needs to be done. To motivate his employees, he mainly uses monetary bonuses as rewards. In this scenario, Jason can be regarded as an autocratic leader.

Leaders who use the autocratic style generally make all selections with little to no entry from others. it is critical to differentiate dictators from those leaders. All dictators are autocratic leaders, but not all autocratic leaders are always dictators.

An authoritarian management style is exemplified whilst a pacesetter dictates guidelines and tactics, decides what desires are to be achieved, and directs and controls all activities without any meaningful participation from the subordinates. One chief has complete control of the team, leaving low autonomy within the organization.

Leaders of Silicon Valley consisting including bill Gates, Steve Jobs, and Elon Musk are examples of autocratic leadership. yet, those are names human beings are looking to emulate. although they're examples of autocratic leadership in enterprise, they have got additionally transformed society.

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In direct relation to landrum's employer strategies for filling a job vacancy, being an intern, volunteer, and/or accepting a lower-level position can be a good idea because?

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In direct relation to Landrum's employer strategies for filling a job vacancy, being an intern, volunteer, and/or accepting a lower-level position can be a good idea because employers hire or promote from within.

A direct relation shows the direct relationship between two quantities. A direct relationship means that both variables increase together or both decrease together. In a direct relationship,  A  only increases when B increases. direct relation is an association between two variables such that they rise and fall in value together.

A relationship is said to have direct relation only and only when one variable changes and the second variable changes proportionally.

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Many companies use ________ to customize koozies for customers to use as inexpensive promotions.

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Many companies use 3D printing to customize koozies for customers to use as inexpensive promotions.

Items such as koozies all come as the same for all customers, but if there needs to be special writing or inscription on any of them,. this is known as customization and can be easily be done with 3D printing.

What is Customization?

This refers to the individual request to make something different for them to make it unique and easily recognizable.

Hence, we can see that Items such as koozies all come as the same for all customers, but if there needs to be special writing or inscription on any of them,. this is known as customization and can be easily be done with 3D printing.

This helps a user to easily identify his item and this is also a form of personalization and is used as an inexpensive promotion.

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Reflective examination and review of situational outcome is an aspect of which step in the ethical decision-making process?

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The step known as "Evaluate Your Decision" is where a reflective examination and review of situational outcome takes place.

What is the decision-making process?

This refers to the process of making choices by identifying a decision, gathering information, and assessing alternative resolutions for a decision.

The steps of an Ethical Decision Making Process are:

Define the ProblemSeek Out ResourcesBrainstorm a List of Potential SolutionsEvaluate Those AlternativesMake Your Decision, and Implement ItEvaluate Your Decision.

Therefore, the step known as "Evaluate Your Decision" is where a reflective examination and review of situational outcome takes place.

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Describe what lilius, worline, dutton, kanov, and maitlus (2011) found about how the collective capacity for compassion was developed and maintained at midwest billing.

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Recent conceptual work has shifted from the individual to the group by positing compassion as a collective capacity that involves noticing others' suffering, feeling empathic concern, and attempting to alleviate that suffering.

Is compassion something you are born with?

The answer is definitively yes, compassion is both innate and can be learned and enhanced.

Advances in neuroscience have shown us that the human brain has neural networks that are hard-wired with the ability to share the experiences of others, including emotions and sensations.

Is compassion an instinct?

This consistency strongly suggests that compassion isn't simply a fickle or irrational emotion, but rather an innate human response embedded into the folds of our brains.

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Of the three core processes of business identified by bossidy and charan, which do they believe is the most important?

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Of the three core processes of business identified by Bossidy and charan people are the most important.

No profitable method may be deliberate without contemplating the company's capability to execute it. The heart of execution lies in 3 core tactics: the human technique, the method system, and the operations process. Each enterprise and corporation uses these methods in a single form or different.

There are 3 specific forms of enterprise operations- service, merchandising, and manufacturing. For a commercial enterprise to feature properly and productively, entrepreneurs have to recognize which business operation aligns with their corporation and the duties it involves.

Core methods are the ones involved in the improvement and advent of the products or services, the advertising, and marketing, and transfer to the service beneficiary or customer, in addition to patron feedback or after-sale aid of the services or products.

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What do we observe in the market for donuts if a new technique is introduced that enables every worker to make twice as many donuts?

Answers

The equilibrium price falls and the equilibrium quantity increases, supply increases.

What is a price that is in equilibrium?

When supply and demand are balanced, the price is at equilibrium. It can be claimed that the forces of supply and demand are comparatively equal and the market is in equilibrium when a major index goes through a period of consolidation or sideways momentum.

Researchers have discovered that prices typically oscillate near equilibrium levels. Market forces will encourage sellers to enter the market and produce more if the price increases too much. More purchasers will place higher bids if the price is too low. Over time, these actions maintain the equilibrium level's relative equilibrium.

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what form of capital does vodacom obtain

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Sheila Marie Abducted by Aliens

A ___________ beneficiary is a third party that benefits from a contract in which the promisor agrees to pay the promisee's debt.

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A creditor beneficiary is a third party that benefits from a contract in which the promisor agrees to pay the promisee's debt

A creditor beneficiary may be defined as the beneficiary  who is being owed or being believed to be owed with a legal obligation by a promisee which is provided upon a promisor's execution of his or her portion of a contract or agreement.

"Creditor beneficiary" is a term which refers to a legal entity that will benefit intentionally from an agreement which has been put in place to satisfy or reduce a debt.

A creditor beneficiary is a special type of third-party beneficiary. Creditor beneficiaries are not active parties in the execution of the agreement which they are to benefit from.

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A disadvantage of using the payback period to compare investment alternatives is that:_________

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it ignores cash flows beyond the payback period it ignores cash flows beyond the payback period.

The most serious disadvantage of the payback method is that it does no longer recollect the time price of money. cash flows received at some point in the early years of a project get a better weight than cash flows acquired in later years.

Payback vs NPV ignores any benefits that arise after the payback length. It additionally does no longer measure total earnings. An implicit assumption inside the use of payback duration is that returns to the funding retain after payback duration.

The number one drawback to the use of the discounted payback method is that it ignores all cash flows that occur after the cutoff date, hence biasing this criterion closer to short-time period initiatives.

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The office of management and budget is an important instrument of presidential control because it reviews:____.

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The office of management and budget is an important instrument of presidential control because it reviews most rules promulgated by federal agencies and helps the president to put together the federal budget submitted annually to congress.

The Office of Management and Budget oversees the performance of federal agencies and controls the federal budget.

The Office of Management and Budget oversees the implementation of the President's vision throughout the executive branch.

Office management helps maintain close relationships between different departments and people. It regularly delivers commands, orders, and instructions to various people. It performs various functions such as planning, organizing, managing, staffing, monitoring, motivating and effective leadership.

OMB's primary function is to assist the President in overseeing the preparation of the federal budget and overseeing its administration in the executive branches.

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The ________ shows the graphical relationship between income and consumer spending.

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The consumption function shows the graphical relationship between income and consumer spending.

Consumption function is the relationship between income and consumer spending and the various factors determining it. At the household level, these factors may include wealth, income, expectations about the level and riskiness of future income or wealth and various other factors.

The most important determinant of consumer spending is disposable income. If people do not have enough money they cannot spend it. Low-income consumers spend a greater portion of their disposable income.

Hence, businesses use consumer spending data in their supply and demand economic calculations.

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Which description best fits what is meant when someone talks about their credit card apr?

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Credit card APR is the price you pay for borrowing money. The cost of borrowing money each year, including fees, is stated as an APR. The  APR is a more comprehensive indicator of the cost to you of borrowing money because it includes both interest rates and application costs.

The interest rates on credit card are often given as an annual percentage. If  payment of balance in full each month by the due date, you can avoid paying interest on purchases on majority of credit cards. if you're getting decent deal on a credit card by looking at the APR.

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Media critics have argued that media monopolies and conglomerates contribute to which problem?

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Answer is less diversity of media voices.

Major multinational firms own media stations and channels in various regions. Many media institutions rely on advertising payments to function, which can lead to the media outlet being swayed by diverse corporate interests. At times, ownership interests may have an impact on what is and is not covered.

Stories may become slanted or excluded in order not to anger sponsors or owners. Citizens' ability to make informed judgments is critical for a free and functioning democracy, but it is presently challenged by such concentration of ownership.

Therefore, greater concentration of ownership leads to fewer diversity of media viewpoints, which means that the public is underserved.

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If a project cost is only $100 up front and its annual benefits are $20/year, what is its payback period in years?

Answers

The correct answer of the question is 5 years.

If a project cost is only $100 up front and its annual benefits are $20/year then the payback period in years is 5 years.

What is project cost?Every project that an organization decides to work on generates some expenses. These expenses are of two types.  Direct costs: it includes fixed labor, materials etc.Indirect costs: includes utility etc...The cost of the project is estimated by the project manager.  What is payback period? It refers to the time that a person/ company would take to return the money of investment. Payback period= cost of investment/ average annual cash flowIt helps us in understanding how much time it would take to recover the initial costs.

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A depreciable asset costs $50,000 and has salvage value of $7,500 after 6 years. what is the ddb depreciation in the second year?

Answers

The double decline balance depreciation in the second year will be $ 11,111.

Depreciation is allocated which will price a fair percentage of the depreciable quantity in every accounting duration throughout the expected useful life of the asset. Depreciation consists of the amortization of property whose useful existence is predetermined.

An example of Depreciation If a transport truck is purchased with the aid of a business enterprise with a price of Rs. 100,000 and the predicted utilization of the truck is five years, the business would possibly depreciate the asset underneath depreciation cost as Rs. 20,000 every 12 months for a length of 5 years.

Depreciation is used on an earnings announcement for nearly every business. its miles are listed as an expense, and so have to be used each time an object is calculated for year-stop tax functions or to decide the validity of the object for liquidation functions.

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If your sevis record is terminated for unauthorized withdrawal or failure to enroll. How long can you remain in the u. S. ?.

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Students terminated for Authorized early withdrawal have 15 days to depart.

What is Students terminated?

A record that has been canceled in the Student and Exchange Visitor Information System (SEVIS) may indicate that the nonimmigrant no longer has F or M status. F-1/M-1 students and/or F-2/M-2 dependents who do not maintain their status are typically terminated by designated school officials (DSOs).

With an expired I-20, you will be unable to reenter the United States. All working privileges have been revoked. Any type of employment after the specified termination date is prohibited. Employers who hire an illegal worker may face serious sanctions.

If the DSO does not enroll the student within 90 days of the Next session start date, the system automatically terminates the record. When a student fails to reenroll after the enrollment deadline for the term has passed.

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An appropriate source for identification of a clinical-based research problem would be a/an:_____.

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An appropriate source for identification of a clinical-based research problem would be a floor nurse. In hospitals and the other healthcare facilities, floor nurses serve as first line of defence for patient care. They directly care for patients, keep track of their health, and work with doctors to make sure everyone is getting the right care.

Medical research that involves patients is called clinical-based research. Clinical trials and observational research are the two categories by floor nurse. Observational studies look at people in everyday environments. Information is gathered, participants are grouped according to general characteristics, and changes over time are compared.

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When consumers believe that various items provide the same set of attributes, brand _________ results.

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When consumers believe that various items provide the same set of attributes, brand recognition results. The degree to which a consumer can correctly identify a specific good or service only by looking at its logo, tagline, packaging, or marketing campaign is known as brand recognition.

An aural cue, such as a jingle or theme tune related to a brand, can also cause brand recognition. For instance, if you see the pink and orange Dunkin Donuts lettering up ahead, you would immediately recognize it as Dunkin Donuts even before you could make out the words. Identify a brand without being explicitly exposed to its name by using visual.

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F there is an increase in demand, the quantity will ______ and the price will _____.

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If there is an increase in demand, the quantity will remain unchanged and the price will rise.

This is because of  the Law of demand.

The law of demand is considered as one of the most fundamental concepts in economics. It works in relation to the law of supply which explains how market economies allocate resources and the prices of goods and services  are determined that we observe in everyday transactions.

The law of demand  also states that the quantity purchased  by consumers varies inversely with price.

In other words, the greater the price, the lower the quantity demanded. This happens because of the diminishing marginal utility. That is, consumers use the first units of an economic good purchased by them  to serve their most urgent needs  at first, and then they use each additional unit of the good to serve their other lower-valued ends.

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When you sell your bicycle to another individual on ebay, you are engaging in which type of e-commerce?

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When you sell your bicycle to another individual on Ebay, you are engaging in C2C type of e-commerce.

What is C2C?The business concept that promotes commerce between private individuals is known as "consumer to consumer," or C2C. This area of e-commerce connects people to conduct business with one another, whether it be for goods or services.Business-to-business (B2B), customer-to-business (C2B), and business-to-consumer (B2C) are the other three types of e-commerce (business to customer).A C2C's purpose is to facilitate these connections by assisting buyers and sellers in finding one another. Customers might gain from product rivalry and find things that might otherwise be challenging to find.

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What information do i need and how can i obtain this information are questions you should ask?

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What information do I need and how can I obtain this information are questions you should ask yourself while conducting a research.

Before embarking on a research project, there are a few questions you need to ask yourself which holds importance as it will guide you to carry on the research in a systematic manner. First of all you have to decide on how to collect information for your research.

A good research question is essential to guide your research paper, project or thesis. It pinpoints exactly what you want to find out and gives your work a clear focus and purpose. All research questions should be focused on a single problem or issue.

Hence, the answer is given and explained above.

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What should a firm do in order to be organized to capture value? (check all that apply.)

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What a firm should do in order to be organized to capture value are have a good organizational structure and have good coordinating systems. A firm (company, establishment) is a body or an organization that employs productive resources to obtain products and/or services which are offered in the market with the aim of making a profit.

What is a firm value?

Enterprise value (EV), total enterprise value (TEV), or firm value (FV) is an economic measure reflecting the market value of a business (that is, as distinct from market price). It is a sum of claims by all claimants: creditors (secured and unsecured) and shareholders (preferred and common).

Therefore, the correct answer is as given above

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The complete question goes thus:

What should a firm do in order to be organized to capture value? (Check all that apply.)

-have a good organizational structure

-have a rare and valuable resource

-have good coordinating systems

-have CEOs with forward-thinking vision

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Most lipids are ; this property causes lipids to be in the bloodstream. lipoproteins form complexes for transport through the bloodstream by surrounding lipids with phospholipids and proteins When there is a lack of specifications, service-oriented architecture (soa) is preferred to sdlc for designing a system. a) true b) false 10POINTS !!the sum of the length of a side of two squares is 18cm and the sum of their areas is 212 cm^2. find the length of a side of the smaller square A sampling method is _________ when the individuals selected for one sample are used to determine the individuals in the second sample. The average atomic mass of lithium is 6.94 amu. Based on the atomic masses of the two isotopes of lithium, how do the relative abundances of the isotopes compare? The scrum master observes the product owner struggling with ordering the product backlog. what is an appropriate action for the scrum master to take? When a newborn takes its first breath, what physical changes occur in the heart to increase oxygenation of the infants blood? Swifty corporation reported total manufacturing costs of $350000, manufacturing overhead totaling $68000, and direct materials totaling $86000. how much is direct labor cost? All vehicles on the road must be equipped with a horn that can be heard from a minimum of ____ feet away. What causes earthquakes?How are earthquakes measured and how big can they get? Why might the saint domingue slave revolt in 1791 be considered one of the most important independence movements in the amer? Regular aerobic exercise gives an individual mou endurance is a sentence that shows cause and affect which word indicates the cause You should abstain from drinking if you are _________. the only one in the movie theater the designated driver only female in the wedding the oldest in the group of friends Assuming dragon genetics follows the same rules as fruit flies, what ratio of genotypes would you expect if the genes were not linked? (remember you are crossing ffbb x ffbb) If one oscillation has 5. 8 times the energy of a second one of equal frequency and mass, what is the ratio of their amplitudes? Whats 400.00 - 172.98 I know the answer I just need to know how to get it What is one similar action taken by all four sultans? why would all the sultans take this type of action? Can someone help me with this?20 points for the Answer to thisThank You for leaving your answer here! What ancient chinese philosophy used color as a symbolic element to explain how change affects the cosmos? An investor discovers that stock prices change drastically as a result of certain events. this finding is a violation of?