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AHIP AHM-520 Exam - Topic 1 Question 74 Discussion

Posted by Josephine on Sep 03, 2023 at 07:20 PM

For each of its products, the Wisteria Health Plan monitors the provider reimbursement trend and the residual trend. One true statement about these trends is that

Suggested Answer: D

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29 comments · newest first
RE
Reta 11 months ago
D seems way off, that's not a residual trend example.
AD
Adrianna 12 months ago
B makes sense, residual trends are often overlooked.
SH
Shenika 12 months ago
Wait, is C really true? That sounds off.
JO
Joseph 1 year ago
I disagree, I think B is the right answer.
JE
Jeannetta 1 year ago
A is probably true, quantifying reimbursement can be tricky.
CA
Carman 1 year ago
I don't think a capitation rate increase is a residual trend; it seems more like a direct change in reimbursement. I might be mixing up the definitions.
SO
Solange 1 year ago
I feel like the residual trend is important, but I can't recall if it really has more impact than the provider reimbursement trend. That part is confusing.
LA
Lauran 1 year ago
I think option B sounds familiar because it relates to how we calculated trends in our practice questions, but I'm not entirely sure if it's worded correctly.
JA
Jade 1 year ago
I remember discussing how provider reimbursement trends can be tricky to measure since they depend on various factors like contracts and negotiations.
DA
Daniela 1 year ago
Option A seems like the easiest solution, just giving the auditor's Google account the Viewer role. But I'm not sure if that's the best approach given the Domain Restricted Sharing policy. I'll have to think this through carefully.
FR
Francesco 1 year ago
Okay, I think I've got this. The output shows a list of event logs, so it's likely a "Get-EventLog" or "Get-WinEvent" command. I'll compare the options to determine the exact command used.
OC
Octavio 1 year ago
Hmm, I'm a bit unsure about this one. The options don't seem to directly match the question. I'll have to read it carefully and think through the concepts to figure out the best answer.
LE
Levi 2 years ago
Wait, a 5% increase in the capitation rate is considered a residual trend? I thought that was just a straight-up provider reimbursement change. These insurance terms are starting to make my head spin!
JU
Jules 1 year ago
↳ replying to Levi
D) An example of a residual trend would be a 5% increase in the capitation rate paid to a PCP by Wisteria
BR
Brice 1 year ago
↳ replying to Levi
C) The residual trend most likely has more impact on Wisteria's total trend than does the provider reimbursement trend
SA
Sang 1 year ago
↳ replying to Levi
B) Wisteria's residual trend is the difference between the total trend and the portion of the total trend caused by changes in Wisteria's provider reimbursement levels
LA
Lashaun 2 years ago
↳ replying to Levi
B) Wisteria's residual trend is the difference between the total trend and the portion of the total trend caused by changes in Wisteria's provider reimbursement levels
RO
Rolland 2 years ago
↳ replying to Levi
A) The provider reimbursement trend probably is more difficult for Wisteria to quantify than is the residual trend
BR
Brittni 2 years ago
↳ replying to Levi
A) The provider reimbursement trend probably is more difficult for Wisteria to quantify than is the residual trend
CA
Carmela 2 years ago
I'm pretty sure the residual trend has a bigger impact on the overall trend. Those little things can really add up, you know?
LA
Laurel 2 years ago
Ah, I see. The residual trend is what's left over after accounting for the provider reimbursement changes. Sounds like a real brain-teaser to keep track of all those moving parts.
MI
Milly 2 years ago
The provider reimbursement trend is definitely more challenging to quantify. Wisteria must have a team of actuaries crunching the numbers 24/7 to stay on top of that!
CA
Catrice 1 year ago
↳ replying to Milly
D) An example of a residual trend would be a 5% increase in the capitation rate paid to a PCP by Wisteria
LA
Lashunda 1 year ago
↳ replying to Milly
C) The residual trend most likely has more impact on Wisteria's total trend than does the provider reimbursement trend
TE
Teri 1 year ago
↳ replying to Milly
B) Wisteria's residual trend is the difference between the total trend and the portion of the total trend caused by changes in Wisteria's provider reimbursement levels
SU
Suzan 1 year ago
↳ replying to Milly
A) The provider reimbursement trend probably is more difficult for Wisteria to quantify than is the residual trend
PE
Peggie 2 years ago
I believe the residual trend has a bigger impact on Wisteria's total trend.
VE
Verlene 2 years ago
I agree with Desiree, it's probably more difficult for Wisteria to quantify.
DE
Desiree 2 years ago
I think the provider reimbursement trend is harder to quantify.
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