AHIP AHM-510 Exam - Topic 1 Question 49 Discussion

Actual exam question for AHIP's AHM-510 exam

Question #: 49
Topic #: 1

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

ATransfers to Sienna all rights to terminate or suspend individual practitioners or providers in Hanford's provider network

BDescribes the process by which Hanford evaluates Sienna's performance in credentialing providers

CBoth A and B

DA only

EB only

FNeither A nor B

Show Suggested Answer

Suggested Answer: C

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

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Patria

4 months ago

Not sure if they can just transfer all rights like that.

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Alana

5 months ago

Totally agree, both A and B are crucial!

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Colette

5 months ago

Wait, does this really mean Sienna can just fire providers?

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Tori

5 months ago

I think B is more important for quality control.

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Nikita

5 months ago

A is definitely part of the delegation process.

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Gracia

5 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

5 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

5 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

6 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

6 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

6 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

6 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

6 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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