AHIP AHM-540 Exam - Topic 1 Question 135 Discussion

Question

Benchmarking is a quality improvement strategy used by some health plans. With regard to benchmarking, it is correct to say that

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D) the focus of benchmarking for health plan has shifted from identifying the lowest cost practices to identifying best practices

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A) cost-based benchmarking reveals why some areas of a health plan perform better or worse than comparable areas of other organizations

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B) diagnosis-related groups (DRGs) are a source of benchmarking data that describe individual procedures and cover both inpatient and outpatient care

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C) patient billing records provide a much more accurate account of procedure costs for benchmarking than do current procedural terminology (CPT) codes