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AHIP AHM-520 Exam - Topic 5 Question 33 Discussion

Doctors' Care is an individual practice association (IPA) under contract to the Jasper Health Plan to provide primary and secondary care to Jasper's members. Jasper's capitation payments compensate Doctors' Care for all physician services and associated diagnostic tests and laboratory work. The physicians at Doctors' Care, as a group, determine how individual physicians in the group will be remunerated. The type of capitation used by Jasper to compensate Doctors' Care is known as:
C) Full professional capitation
A) PCP capitation
B) Partial capitation
D) Specialty capitation

AHIP AHM-520 Exam - Topic 5 Question 33 Discussion

Actual exam question for AHIP's AHM-520 exam
Question #: 33
Topic #: 5
[All AHM-520 Questions]

Doctors' Care is an individual practice association (IPA) under contract to the Jasper Health Plan to provide primary and secondary care to Jasper's members. Jasper's capitation payments compensate Doctors' Care for all physician services and associated diagnostic tests and laboratory work. The physicians at Doctors' Care, as a group, determine how individual physicians in the group will be remunerated. The type of capitation used by Jasper to compensate Doctors' Care is known as:

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Suggested Answer: C

by Ezekiel at May 03, 2022, 08:51 PM

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Shaun
11 months ago
Specialty capitation doesn't fit this scenario at all.
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Lindsay
11 months ago
Partial capitation seems more accurate to me.
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Marva
11 months ago
Wait, so they get paid for all services? That's surprising!
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Goldie
11 months ago
I thought it was full professional capitation?
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Kattie
11 months ago
It's definitely PCP capitation!
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Merilyn
12 months ago
I think I know the answer to this one. The Change - Implementation subflow should automatically add Change Tasks, and the user can also manually add them during the New, Assess, and Authorized states.
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Shelia
12 months ago
Based on my understanding, the ghost employee payment is the most common way to misappropriate funds from the payroll. I'm pretty confident that's the right answer here.
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Roosevelt
12 months ago
MDM seems to come up a lot in practice questions, especially when we talked about BYOD. I think that's the way to go for Geoff's situation.
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Shanice
12 months ago
Hmm, this is an interesting question. I think I'll go with options A and C - checking for magic numbers and ensuring the requirements can be verified during testing. Those seem like important things to include in a code review.
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