AHIP AHM-530 Exam - Topic 3 Question 33 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 33
Topic #: 3

Health plans typically conduct two types of reviews of a provider's medical records: an evaluation of the provider's medical record keeping (MRK) practices and a medical record review (MRR). One true statement about these types of reviews is that:

AAn MRK covers the content of specific patient records of a provider.

BThe NCQA requires an examination of MRK with all of a health plan's office evaluations.

CAn MRR includes a review of the policies, procedures, and documentation standards the provider follows to create and maintain medical records.

DThe NCQA requires MRR for both credentialing and recredentialing of providers in a health plan's network.

Show Suggested Answer

Suggested Answer: A

by Cheryl at May 05, 2022, 03:36 AM

Limited Time Offer

25%

6 months ago

I'm a little confused by the wording of the question. Are they asking about the best method or just a method that helps estimate project value? I'll need to re-read it carefully.

upvoted 0 times

...