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AHIP AHM-510 Exam - Topic 1 Question 49 Discussion

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

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

Suggested Answer: C

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13 comments · newest first
PA
Patria 12 months ago
Not sure if they can just transfer all rights like that.
AL
Alana 1 year ago
Totally agree, both A and B are crucial!
CO
Colette 1 year ago
Wait, does this really mean Sienna can just fire providers?
TO
Tori 1 year ago
I think B is more important for quality control.
NI
Nikita 1 year ago
A is definitely part of the delegation process.
GR
Gracia 1 year 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.
AR
Arlyne 1 year 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.
VI
Virgina 1 year 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.
GA
Gayla 1 year 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.
WE
Wenona 1 year ago
I remember learning about meperidine in class. I think it's a Schedule II drug, but I'll double-check to be sure.
JU
Jules 1 year 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.
AD
Adell 1 year 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.
MA
Mattie 1 year 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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