AHIP AHM-530 Exam - Topic 5 Question 69 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 69
Topic #: 5

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

AApex and Baxter only

BApex and Cheshire only

CBaxter and Cheshire only

DBaxter only

Show Suggested Answer

Suggested Answer: D

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

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Jerrod

9 months ago

Interesting! I didn’t know some of them had NCQA standards.

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Heike

9 months ago

Baxter is definitely accredited, but I’m not so sure about Apex.

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Casie

9 months ago

Wait, are you sure about that? I thought Cheshire had some accreditation too.

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Michael

10 months ago

Totally agree, I think they’re the best options!

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Aileen

10 months ago

I heard Apex and Baxter are both accredited.

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Giovanna

10 months 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.

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Shawna

10 months 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.

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Bettina

10 months 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.

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Luisa

10 months ago

I remember that NCQA has specific accreditation programs for different types of organizations, but I'm not sure which ones apply here.

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Lenna

10 months 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.

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Levi

10 months 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.

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Marilynn

10 months 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.

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Harris

10 months ago

Yeah, I recall 'dial-peer cor custom' from something I studied, but not sure if it relates directly to call restrictions like this.

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Onita

1 year 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.

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Tula

1 year ago

Exactly, so the correct answer is B) Apex and Cheshire only.

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Hubert

1 year ago

That makes sense, NCQA doesn't accredit the behavioral health organization.

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Erinn

1 year ago

So, the answer must be Apex and Cheshire only.

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Marshall

1 year ago

I think Mireya is right, NCQA accredits healthcare providers like vision and dental organizations.

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Deane

1 year ago

That makes sense, thanks for clarifying!

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Sina

1 year ago

So, Baxter Managed Behavioral Healthcare Organization (MBHO) is not included in the accreditation program.

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Son

1 year ago

I agree, NCQA accredits healthcare providers like vision and dental organizations.

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Alecia

1 year ago

I think the answer is B) Apex and Cheshire only.

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Leoma

1 year 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.

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Lorita

1 year ago

Yeah, NCQA definitely has programs for vision and dental, not just behavioral health.

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Dalene

1 year ago

I almost picked D) Baxter only too, but then I remembered NCQA covers vision and dental too.

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Mari

1 year 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.

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Mireya

1 year 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.

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