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AHIP AHM-530 Exam - Topic 6 Question 73 Discussion

Posted by Meaghan on Aug 04, 2023 at 05:27 PM

Prior to the enactment of the Balanced Budget Act (BBA) of 1997, payment for Medicare-covered primary and acute care services was based on the adjusted average per capita cost (AAPCC). The AAPCC is defined as the

Suggested Answer: D

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28 comments · newest first
FA
Fannie 11 months ago
No way, it's definitely not a fixed monthly fee!
AM
Amber 12 months ago
I think it's the fee-for-service amount, right?
MA
Marylyn 12 months ago
Wait, I thought it was more about individual patient costs?
UL
Ula 1 year ago
Totally agree, it's based on regional costs!
LO
Louvenia 1 year ago
AAPCC is all about average costs in a region.
FA
Fabiola 1 year ago
I think option C sounds familiar since it mentions adjustments for age and sex, which seems relevant to how Medicare calculates costs.
LI
Lisbeth 1 year ago
I want to say the AAPCC is linked to the average fixed monthly fee, but I can't recall the details clearly.
PA
Pansy 1 year ago
I remember practicing a question about how Medicare payments were structured before the BBA, and I feel like it was more about the fee-for-service model.
DE
Denny 1 year ago
I think the AAPCC relates to the average cost of services, but I'm not entirely sure if it's specifically for a geographic region.
CA
Carmen 1 year ago
This question seems pretty straightforward. Social engineering is definitely a means of harm, so I'm going to go with True.
AD
Adrianna 1 year ago
I think the key here is to clone the change set and add any missing dependent components. That seems like the most straightforward approach.
PO
Polly 1 year ago
Ha! AAPCC sounds like something you'd find in a medical dictionary. I'm just going to close my eyes and pick an answer. C seems as good as any.
EV
Evette 1 year ago
I was leaning towards A, but now I'm not so sure. This Balanced Budget Act stuff has me a bit confused. Maybe I should have paid more attention in my Medicare policy class.
MA
Magdalene 1 year ago
↳ replying to Evette
No, I don't think that's right. The AAPCC was based on the average cost of services, not the fee-for-service amount.
CA
Caren 1 year ago
↳ replying to Evette
C) fee-for-service amount that the Centers for Medicaid and Medicare Services (CMS) would pay for a Medicare beneficiary, adjusted for age, sex, and institutional status
HA
Hannah 1 year ago
↳ replying to Evette
I think that's correct. The AAPCC was based on the average cost of services in a specific area.
SA
Santos 1 year ago
↳ replying to Evette
A) average cost of services delivered to all patients living in a specified geographic region
WA
Wayne 2 years ago
But C makes more sense because it takes into account age, sex, and institutional status.
CR
Crista 2 years ago
I disagree, I believe the answer is A.
DE
Desirae 2 years ago
Hmm, this seems pretty straightforward. I'm going with C as well. CMS definitely adjusts the payment based on those demographic factors.
LA
Lashonda 1 year ago
↳ replying to Desirae
Yeah, that makes sense. It's important to adjust payments based on those factors.
FE
Felton 1 year ago
↳ replying to Desirae
I think it's C too. CMS does take into account age, sex, and institutional status.
DO
Douglass 2 years ago
I think the answer is C. The AAPCC is the fee-for-service amount that CMS would pay for a Medicare beneficiary, adjusted for age, sex, and institutional status.
KI
King 1 year ago
↳ replying to Douglass
I agree with the initial response, C is the correct answer.
LI
Lilli 1 year ago
↳ replying to Douglass
Actually, I think it might be D, the average fixed monthly fee paid by all Medicare enrollees.
LE
Lenna 1 year ago
↳ replying to Douglass
I believe it is A, the average cost of services delivered to all patients in a specified region.
KR
Krystina 2 years ago
↳ replying to Douglass
I think the answer is C.
WA
Wayne 2 years ago
I think the answer is C.
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