AHIP AHM-510 Exam - Topic 4 Question 28 Discussion

Actual exam question for AHIP's AHM-510 exam

Question #: 28
Topic #: 4

The Good & Well Pharmacy, a Medicaid provider of outpatient drugs, is subject to the prospective drug utilization review (DUR) mandates of the Omnibus Budget Reconciliation Act of 1990 (OBRA '90). One component of prospective DUR is screening. In this context, when Good & Well is involved in the process of screening, the pharmacy is

AUpdating a formulary to represent the current clinical judgment of providers and experts in the diagnosis and treatment of disease

BReviewing patient profiles for the purpose of identifying potential problems

CConsulting directly with prescribers and patients in the planning of drug therapy

DDenying coverage for the off-label use of approved drugs

Show Suggested Answer

Suggested Answer: B

by Skye at May 04, 2022, 11:36 AM

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Leonora

5 months ago

Denying off-label use seems a bit extreme, right?

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Veronika

5 months ago

Wait, I thought screening was just about formulary updates?

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Arlene

5 months ago

I think it's more about consulting with prescribers, though.

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Jade

5 months ago

Totally agree, it's all about patient safety!

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Edwin

5 months ago

Screening means reviewing patient profiles for potential issues.

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Evangelina

6 months ago

Hmm, this is a tricky one. I'll need to think through the logic of the Cobweb model and how the different elasticity combinations affect stability. I'll make sure to show my work.

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Cherri

6 months ago

This is a tricky one. There are a lot of moving parts with the different roles and responsibilities within ABC Company. I think I'll need to really focus on understanding the purpose of the benefits management approach and how it relates to the overall project objectives. That should help me determine the best approach.

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Marleen

6 months ago

Hmm, this one seems straightforward. I'm pretty sure the active manufacturing orders are stored in the shop order master file.

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