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AHIP AHM-530 Exam - Topic 6 Question 31 Discussion

A health plan that delegates designated credentialing activities to an NCQA-centered or a Commission/URAC-centered credentials verification organization (CVO) is exempt from the due-diligence oversight requirements specified in the NCQA credentialing standards for all verification services for which the CVO has been certified:
A) True
B) False

AHIP AHM-530 Exam - Topic 6 Question 31 Discussion

Actual exam question for AHIP's AHM-530 exam
Question #: 31
Topic #: 6
[All AHM-530 Questions]

A health plan that delegates designated credentialing activities to an NCQA-centered or a Commission/URAC-centered credentials verification organization (CVO) is exempt from the due-diligence oversight requirements specified in the NCQA credentialing standards for all verification services for which the CVO has been certified:

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Suggested Answer: A

by Shawnda at May 04, 2022, 09:37 AM

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Micaela
8 months ago
Yep, it's all about efficiency with certified CVOs!
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Elke
8 months ago
Wait, so they don't have to follow the same standards?
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Daron
8 months ago
Totally agree, it makes the process smoother.
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Verda
8 months ago
Really? I thought oversight was still needed.
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Carylon
8 months ago
That's true, CVOs can take over those tasks.
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Ernest
9 months ago
Hmm, this is a tricky one. I'm not entirely sure which option would be the right one, but I'm thinking it might have something to do with allowing cross-subsidiary record viewing or not restricting employee fields. I'll need to carefully consider the implications of each choice.
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Nathalie
9 months ago
Hmm, I'm not sure about this one. I'll have to think it through carefully. Is it possible it could be a piece rate or commission?
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Rodney
9 months ago
Hmm, I'm a bit confused by the different table names and column references. I'll need to double-check the syntax and make sure I understand how the MERGE statement works.
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Rodolfo
9 months ago
I feel like the best long-term outcome should really focus on independence, so I'm leaning towards option C. It aligns with what we've discussed about functional skills.
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