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AHIP AHM-530 Exam - Topic 4 Question 48 Discussion

Dr. Sarah Carmichael is one of several network providers who serve on one of the Apex Health Plan's organizational committees. The committee reviews cases against providers identified through complaints and grievances or through clinical monitoring activities. If needed, the committee formulates, approves, and monitors corrective action plans for providers. Although Apex administrators and other employees also serve on the committee, only participating providers have voting rights. The committee that Dr. Carmichael serves on is a
B) Peer review committee
A) Utilization management committee
C) Medical advisory committee
D) Credentialing committee

AHIP AHM-530 Exam - Topic 4 Question 48 Discussion

Actual exam question for AHIP's AHM-530 exam
Question #: 48
Topic #: 4
[All AHM-530 Questions]

Dr. Sarah Carmichael is one of several network providers who serve on one of the Apex Health Plan's organizational committees. The committee reviews cases against providers identified through complaints and grievances or through clinical monitoring activities. If needed, the committee formulates, approves, and monitors corrective action plans for providers. Although Apex administrators and other employees also serve on the committee, only participating providers have voting rights. The committee that Dr. Carmichael serves on is a

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Suggested Answer: B

by Willow at May 09, 2022, 09:19 PM

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Mitsue
11 months ago
Credentialing committee? Not sure about that one.
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Annita
11 months ago
I thought it was a medical advisory committee at first.
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Leota
11 months ago
Wait, only providers can vote? That seems odd.
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Deeann
11 months ago
I agree, definitely a peer review committee!
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Norah
11 months ago
Sounds like a peer review committee to me.
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Alex
12 months ago
The paperclip is definitely the way to go here. That's the standard attachment icon in pretty much every email program I've used.
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Providencia
12 months ago
I think risk assessment is more about identifying risks rather than optimizing them, so maybe that's the one?
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Tiera
12 months ago
Hmm, pinpoint pupils and delirium - that sounds like an opioid overdose to me. I'll go with option B.
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Angelica
12 months ago
Hmm, I'm a bit unsure about this one. The options all seem plausible, but I'm not sure which one is the "primary factor." I'll need to think this through carefully and consider how each option might impact a company's need to improve transportation sustainability.
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Adrianna
12 months ago
I think it's about egress replication on the source leaf switches, but it could also be the destination ones? That sounds familiar.
upvoted 0 times
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