AHIP AHM-530 Exam - Topic 6 Question 31 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 31
Topic #: 6

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:

ATrue

BFalse

Show Suggested Answer

Suggested Answer: A

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

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Micaela

5 months ago

Yep, it's all about efficiency with certified CVOs!

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Elke

5 months ago

Wait, so they don't have to follow the same standards?

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Daron

5 months ago

Totally agree, it makes the process smoother.

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Verda

5 months ago

Really? I thought oversight was still needed.

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Carylon

5 months ago

That's true, CVOs can take over those tasks.

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Ernest

6 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

6 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

6 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

6 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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