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AHIP AHM-540 Exam - Topic 1 Question 35 Discussion

The paragraph below contains an incomplete statement. Select the answer choice containing the term that correctly completes the paragraph.The Balanced Budget Act (BBA) of 1997 established the use of ___________ to determine coverage of emergency services for Medicare and Medicaid enrollees in health plans.
B) the prudent layperson standard
A) utilization management standards
C) preauthorization
D) diagnosis-based retrospective review

AHIP AHM-540 Exam - Topic 1 Question 35 Discussion

Actual exam question for AHIP's AHM-540 exam
Question #: 35
Topic #: 1
[All AHM-540 Questions]

The paragraph below contains an incomplete statement. Select the answer choice containing the term that correctly completes the paragraph.

The Balanced Budget Act (BBA) of 1997 established the use of ___________ to determine coverage of emergency services for Medicare and Medicaid enrollees in health plans.

Show Suggested Answer Hide Answer
Suggested Answer: B

by Kimbery at May 05, 2022, 01:12 AM

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Carma
9 months ago
C seems off, preauthorization isn't really for emergencies.
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Julio
9 months ago
I had no idea this was a thing!
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Gabriele
10 months ago
Wait, are we sure it's not A?
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Owen
10 months ago
Definitely agree with that!
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Evangelina
10 months ago
I think it's B, the prudent layperson standard.
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Danilo
10 months ago
Hmm, I'm not sure about any of these options. They all seem to have potential risks. I think I'll need to re-read the question and think it through carefully before deciding.
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Fernanda
10 months ago
This seems like a straightforward risk management question. I'd carefully review the risk register and project management plan to determine the appropriate response.
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Derick
10 months ago
I have a fuzzy memory about this, but I feel like we did a question on Scaffold and material design last week. I'm just not 100% sure about this one!
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Xuan
10 months ago
Always look for absolute language. This statement seems pretty direct about record destruction being a concealment method. Probably True.
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