Discuss AHIP AHM-530 Exam Topic 4 Question 20

The following statements are about fee-for-service (FFS) payment systems. Select the answer choice containing the correct statement:

AA discounted fee-for-service (DFFS) system is usually easier for a health plan to administer than is a fee schedule system.

BA case rate payment system offers providers an incentive to take an active role in managing cost and utilization.

COne reason that health plans use a relative value scale (RVS) payment system is that RVS values for cognitive services have traditionally been higher than the values for procedural services.

DOne reason that health plans use a resource-based relative value scale (RBRVS) is that this system includes weighted unit values for all types of procedures.

Suggested Answer: B

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10 comments · newest first

Chauncey 1 year ago

I think the incentives in case rate systems are often overstated.

Domingo 1 year ago

RBRVS does include weighted unit values, that's a fact.

Odette 1 year ago

Wait, RVS values for cognitive services are higher? That’s surprising!

Timothy 1 year ago

I disagree, DFFS is not easier to manage than a fee schedule.

Geoffrey 1 year ago

A case rate payment system really does incentivize cost management.

Keith 1 year ago

Hmm, this looks like a tricky one. I'll need to carefully review the 3GPP release details to determine which options are supported.

Jamika 1 year ago

I'm not entirely sure, but isn't the statement of work important too? I remember it being referenced in practice questions about project scope.

Myra 1 year ago

Okay, let me break this down step-by-step. The keys can be anything, but the values have some limitations. I think I know the right answer, but I'll double-check my understanding.

Lenna 1 year ago

I feel pretty confident about this question. Based on the options, I think Option B is the best answer. A privacy mask that changes shape depending on the angle of view seems to capture the "3D" aspect of the question.

Soledad 1 year ago

Okay, let's see. I think the key here is to focus on the request, not the response. So I'm leaning towards option A, which checks the hostname in the request.

AHIP AHM-530 Exam - Topic 4 Question 20 Discussion