AHIP AHM-540 Exam - Topic 1 Question 35 Discussion

Actual exam question for AHIP's AHM-540 exam

Question #: 35
Topic #: 1

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.

Autilization management standards

Bthe prudent layperson standard

Cpreauthorization

Ddiagnosis-based retrospective review

Show Suggested Answer

Suggested Answer: B

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

Limited Time Offer

25%

Off

Get Premium AHM-540 Questions as Interactive Web-Based Practice Test or PDF

Contribute your Thoughts:

Submit Cancel

Carma

6 months ago

C seems off, preauthorization isn't really for emergencies.

upvoted 0 times

...

Julio

6 months ago

I had no idea this was a thing!

upvoted 0 times

...

Gabriele

7 months ago

Wait, are we sure it's not A?

upvoted 0 times

...

Owen

7 months ago

Definitely agree with that!

upvoted 0 times

...

Evangelina

7 months ago

I think it's B, the prudent layperson standard.

upvoted 0 times

...

Danilo

7 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.

upvoted 0 times

...

Fernanda

7 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.

upvoted 0 times

...

Derick

7 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!

upvoted 0 times

...

Xuan

7 months ago

Always look for absolute language. This statement seems pretty direct about record destruction being a concealment method. Probably True.

upvoted 0 times

...