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AHIP AHM-530 Exam - Topic 5 Question 69 Discussion

Posted by Vi on Apr 25, 2023 at 03:02 PM

The Omni Health Plan is interested in expanding the specialty services it offers to its plan members and is considering contracting with the following providers of specialty services:

The Apex Company, a managed vision care organization (MVCO)

The Baxter Managed Behavioral Healthcare Organization (MBHO)

The Cheshire Dental Health Maintenance Organization (DHMO)

As part of its credentialing process, Omni would like to verify that each of these providers has met NCQA's accreditation standards. However, with regard to these three specialty service providers, an NCQA accreditation program currently exists for

Suggested Answer: D

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34 comments · newest first
JE
Jerrod 12 months ago
Interesting! I didn’t know some of them had NCQA standards.
HE
Heike 1 year ago
Baxter is definitely accredited, but I’m not so sure about Apex.
CA
Casie 1 year ago
Wait, are you sure about that? I thought Cheshire had some accreditation too.
MI
Michael 1 year ago
Totally agree, I think they’re the best options!
AI
Aileen 1 year ago
I heard Apex and Baxter are both accredited.
GI
Giovanna 1 year ago
I vaguely remember that DHMOs like Cheshire might not have the same accreditation as the others. I’m leaning towards option A, but I’m not entirely confident.
SH
Shawna 1 year ago
I’m a bit confused about the distinction between MVCOs and MBHOs. I think Apex and Baxter might be the right answer, but I can't recall the details.
BE
Bettina 1 year ago
I think I practiced a question similar to this, and it was about which providers had NCQA accreditation. I feel like Baxter was definitely one of them.
LU
Luisa 1 year ago
I remember that NCQA has specific accreditation programs for different types of organizations, but I'm not sure which ones apply here.
LE
Lenna 1 year ago
This seems like a straightforward question about the types of interactions that can be configured for Recording Policies. I'll carefully review each option and select the one that best matches the information provided.
LE
Levi 1 year ago
Calling the authorities for an identity theft issue seems like overkill here. I think the best bet is to reboot from a clean disk and see if that clears things up.
MA
Marilynn 1 year ago
I remember something about exporting routes from L3Outs, but I'm not sure if "Enable Export Route Control Subnet" is the only thing we need.
HA
Harris 1 year ago
Yeah, I recall 'dial-peer cor custom' from something I studied, but not sure if it relates directly to call restrictions like this.
ON
Onita 2 years ago
This is a tricky one, but I think Mireya nailed it. NCQA is all about accrediting healthcare providers, so the obvious choices are the vision and dental organizations, not the behavioral health one.
TU
Tula 1 year ago
↳ replying to Onita
Exactly, so the correct answer is B) Apex and Cheshire only.
HU
Hubert 1 year ago
↳ replying to Onita
That makes sense, NCQA doesn't accredit the behavioral health organization.
ER
Erinn 1 year ago
↳ replying to Onita
So, the answer must be Apex and Cheshire only.
MA
Marshall 1 year ago
↳ replying to Onita
I think Mireya is right, NCQA accredits healthcare providers like vision and dental organizations.
DE
Deane 1 year ago
↳ replying to Onita
That makes sense, thanks for clarifying!
SI
Sina 1 year ago
↳ replying to Onita
So, Baxter Managed Behavioral Healthcare Organization (MBHO) is not included in the accreditation program.
SO
Son 2 years ago
↳ replying to Onita
I agree, NCQA accredits healthcare providers like vision and dental organizations.
AL
Alecia 2 years ago
↳ replying to Onita
I think the answer is B) Apex and Cheshire only.
LE
Leoma 2 years ago
Haha, I almost went with D) Baxter only because 'Baxter' sounds like a medical company. But I'm glad I read the question more carefully. NCQA definitely has programs for vision and dental, not behavioral health.
LO
Lorita 1 year ago
↳ replying to Leoma
Yeah, NCQA definitely has programs for vision and dental, not just behavioral health.
DA
Dalene 2 years ago
↳ replying to Leoma
I almost picked D) Baxter only too, but then I remembered NCQA covers vision and dental too.
MA
Mari 2 years ago
I was leaning towards C) Baxter and Cheshire only, since NCQA seems to have a focus on healthcare organizations. But you're right, the question specifically mentions NCQA accreditation, and that aligns with B.
MI
Mireya 2 years ago
The correct answer is B) Apex and Cheshire only. NCQA has accreditation programs for managed vision care organizations and dental health maintenance organizations, but not for managed behavioral healthcare organizations.
AL
Aliza 2 years ago
↳ replying to Mireya
Right, Omni Health Plan will need to verify the accreditation of Apex and Cheshire before contracting with them.
GE
Georgeanna 2 years ago
↳ replying to Mireya
So, Baxter Managed Behavioral Healthcare Organization (MBHO) does not have an NCQA accreditation program.
PE
Peggie 2 years ago
↳ replying to Mireya
That makes sense, NCQA has accreditation programs for managed vision care organizations and dental health maintenance organizations.
AL
Aleisha 2 years ago
↳ replying to Mireya
I think the answer is B) Apex and Cheshire only.
WI
Winifred 2 years ago
I'm not sure about that. I think it might be C) Baxter and Cheshire only.
MI
Misty 2 years ago
I agree with you. Apex and Baxter are the ones that have met NCQA's accreditation standards.
FE
Felice 2 years ago
I think the answer is A) Apex and Baxter only.
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