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AHIP AHM-510 Exam - Topic 1 Question 49 Discussion

The Hanford Health Plan has delegated the credentialing of its providers to the Sienna Group, a credential verification organization (CVO). If the contract between Hanford and Sienna complies with all of the National Committee for Quality Assurance (NCQA) guidelines for delegation of credentialing, then this contract
C) Both A and B
A) Transfers to Sienna all rights to terminate or suspend individual practitioners or providers in Hanford's provider network
B) Describes the process by which Hanford evaluates Sienna's performance in credentialing providers
D) A only
E) B only
F) Neither A nor B

AHIP AHM-510 Exam - Topic 1 Question 49 Discussion

Actual exam question for AHIP's AHM-510 exam
Question #: 49
Topic #: 1
[All AHM-510 Questions]

The Hanford Health Plan has delegated the credentialing of its providers to the Sienna Group, a credential verification organization (CVO). If the contract between Hanford and Sienna complies with all of the National Committee for Quality Assurance (NCQA) guidelines for delegation of credentialing, then this contract

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Suggested Answer: C

by Lai at Jun 19, 2022, 05:38 AM

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Patria
10 months ago
Not sure if they can just transfer all rights like that.
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Alana
11 months ago
Totally agree, both A and B are crucial!
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Colette
11 months ago
Wait, does this really mean Sienna can just fire providers?
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Tori
11 months ago
I think B is more important for quality control.
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Nikita
11 months ago
A is definitely part of the delegation process.
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Gracia
11 months ago
From what I studied, I believe both A and B are important aspects of the contract, but I can't recall if they are both included in the same way.
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Arlyne
11 months ago
I'm a bit confused about whether the rights to terminate providers are automatically transferred. I feel like I need to double-check the NCQA guidelines on this.
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Virgina
11 months ago
I remember that the delegation of credentialing should include performance evaluation, but I'm not sure if it transfers all rights to terminate providers.
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Gayla
12 months ago
I think I saw a practice question similar to this, and it emphasized that the contract must outline how Hanford monitors Sienna's performance.
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Wenona
12 months ago
I remember learning about meperidine in class. I think it's a Schedule II drug, but I'll double-check to be sure.
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Jules
12 months ago
This seems straightforward enough. I'll just need to carefully evaluate each statement against the information in the plot and select the three that are correct.
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Adell
12 months ago
I'm pretty confident the answer is C - Residual risk. The question mentions the "associated consequence of failure", which to me suggests it's talking about the remaining or residual risk after other factors have been considered.
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Mattie
12 months ago
Hmm, I'm not entirely sure about this one. I'll have to think it through carefully to make sure I don't miss any important details.
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