AHIP AHM-530 Exam - Topic 6 Question 73 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 73
Topic #: 6

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

Aaverage cost of services delivered to all patients living in a specified geographic region

Bactuarial value of the deductible and coinsurance amounts for basic Medicare-covered benefits

Cfee-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

Daverage fixed monthly fee paid by all Medicare enrollees in a specified geographic region

Show Suggested Answer

Suggested Answer: D

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

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Fannie

4 months ago

No way, it's definitely not a fixed monthly fee!

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Amber

4 months ago

I think it's the fee-for-service amount, right?

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Marylyn

4 months ago

Wait, I thought it was more about individual patient costs?

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Ula

5 months ago

Totally agree, it's based on regional costs!

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Louvenia

5 months ago

AAPCC is all about average costs in a region.

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Fabiola

5 months ago

I think option C sounds familiar since it mentions adjustments for age and sex, which seems relevant to how Medicare calculates costs.

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Lisbeth

5 months ago

I want to say the AAPCC is linked to the average fixed monthly fee, but I can't recall the details clearly.

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Pansy

5 months 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.

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Denny

6 months 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.

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Carmen

6 months ago

This question seems pretty straightforward. Social engineering is definitely a means of harm, so I'm going to go with True.

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Adrianna

6 months 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.

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Polly

10 months 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.

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Evette

10 months 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.

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Magdalene

9 months ago

No, I don't think that's right. The AAPCC was based on the average cost of services, not the fee-for-service amount.

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Caren

9 months ago

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

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Hannah

9 months ago

I think that's correct. The AAPCC was based on the average cost of services in a specific area.

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Santos

10 months ago

A) average cost of services delivered to all patients living in a specified geographic region

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Wayne

11 months ago

But C makes more sense because it takes into account age, sex, and institutional status.

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Crista

11 months ago

I disagree, I believe the answer is A.

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Desirae

11 months ago

Hmm, this seems pretty straightforward. I'm going with C as well. CMS definitely adjusts the payment based on those demographic factors.

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Lashonda

10 months ago

Yeah, that makes sense. It's important to adjust payments based on those factors.

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Felton

10 months ago

I think it's C too. CMS does take into account age, sex, and institutional status.

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Douglass

11 months 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.

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