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AHIP AHM-530 Exam - Topic 5 Question 40 Discussion

One difference between a fee-for-service (FFS) reimbursement arrangement and capitation is that the FFS arrangement:
C) Bases 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
A) Is a prospective payment system, whereas capitation is a retrospective payment system
B) Has a potential to induce providers to underutilize medical resources, whereas capitation does not have this potential disadvantage
D) Is most often used by health plans to reimburse healthcare facilities, whereas capitation is most often used by health plans to reimburse specialty care providers

AHIP AHM-530 Exam - Topic 5 Question 40 Discussion

Actual exam question for AHIP's AHM-530 exam
Question #: 40
Topic #: 5
[All AHM-530 Questions]

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

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Suggested Answer: C

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

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Linn
8 months ago
Really? I always thought FFS was more common in specialty care.
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Glenn
8 months ago
D seems off, capitation is used in primary care mostly.
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Mona
8 months ago
Wait, I thought capitation was based on services too?
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Whitney
8 months ago
Totally agree, C is the right answer!
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Dorothy
8 months ago
FFS pays for what you actually do, capitation is flat rate.
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Kanisha
9 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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Ilene
9 months ago
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
9 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.
upvoted 0 times
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