AHIP AHM-530 Exam - Topic 5 Question 40 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 40
Topic #: 5

One difference between a fee-for-service (FFS) reimbursement arrangement and capitation is that the FFS arrangement:

AIs a prospective payment system, whereas capitation is a retrospective payment system

BHas a potential to induce providers to underutilize medical resources, whereas capitation does not have this potential disadvantage

CBases the amount of reimbursement on the actual medical services delivered, whereas reimbursement under capitation is independent of the actual volume and cost of services provided

DIs most often used by health plans to reimburse healthcare facilities, whereas capitation is most often used by health plans to reimburse specialty care providers

Show Suggested Answer

Suggested Answer: C

by Rolande at May 05, 2022, 08:12 AM

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6 months ago

The question is asking which controller the Architect should focus on, so I'll need to look at the metrics like total time, hits, and average time to identify the outlier.

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Hmm, I'm not sure about this one. The Scrum Master or the Development Team could also have a good understanding of the progress, since they are closely involved in the day-to-day work. I'll need to think this through carefully.

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Blair

6 months ago

I'm a bit unsure about this one. The wording seems a bit tricky, so I'll need to think it through step-by-step.

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AHIP AHM-530 Exam - Topic 5 Question 40 Discussion

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