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AHIP Exam AHM-540 Topic 1 Question 104 Discussion

Actual exam question for AHIP's AHM-540 exam
Question #: 104
Topic #: 1
[All AHM-540 Questions]

To see that utilization guidelines are consistently applied, UR programs rely on authorization systems. Determine whether the following statement about authorization systems is true or false:

Only physicians can make nonauthorization decisions based on medical necessity.

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Suggested Answer: B

by Elmira at Dec 09, 2024, 11:35 AM

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Gussie
21 days ago
As a nurse, I have to say that physicians don't get to make all the calls around here. We're just as qualified to assess medical necessity and make those tough decisions. This question is a bit of a joke, if you ask me.
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Samuel
25 days ago
Well, well, well... looks like someone's trying to trip us up with a trick question. I bet the real answer is something like 'Only physicians can make nonauthorization decisions based on medical necessity... unless they've delegated that authority to other qualified professionals.' Am I right, or am I right?
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Arthur
2 days ago
I agree, it seems like the answer is False.
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Marylou
3 days ago
I think you're onto something there. It's probably False.
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Matilda
9 days ago
B) False
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Wenona
19 days ago
A) True
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Tish
1 months ago
Hmm, I'm pretty sure the answer is B) False. Most UR programs allow case managers, nurses, and other clinicians to make nonauthorization decisions in addition to physicians. Physicians don't have the monopoly on that power.
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Florinda
9 days ago
Yes, B) False. Other clinicians besides physicians can make nonauthorization decisions.
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Theresia
18 days ago
I think the answer is B) False. It's not limited to just physicians.
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Val
22 days ago
That's right, B) False. Case managers and nurses can also make those decisions.
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Cecilia
1 months ago
I agree, B) False. It's not just physicians who can make nonauthorization decisions.
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Nettie
1 months ago
Ugh, I hate these True/False questions. There's always some little caveat that makes it not a straightforward answer. I'm just going to guess B) False and hope for the best.
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Rosalind
2 months ago
This is a tricky one. While physicians typically have the final say on medical necessity, some UR programs may allow other qualified healthcare professionals to make nonauthorization decisions as well. I'll have to think carefully about this one.
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Hillary
1 months ago
I think it's true because physicians usually have the authority to make decisions based on medical necessity.
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Kiley
1 months ago
A) True
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Ryan
2 months ago
I disagree. I believe only physicians should make such decisions.
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Aliza
2 months ago
I agree with Cecily. Nonphysicians can also make nonauthorization decisions based on medical necessity.
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Cecily
2 months ago
I think the statement is false.
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