The following statement(s) can correctly be made about accrediting agency standards for delegation:
The National Committee for Quality Assurance (NCQA) allows health plans to delegate all medical management functions, including the responsibility to perform delegation oversight activities
In some cases, accreditation standards for delegation oversight are reduced if the delegate has already been certified or accredited by the delegator's accrediting agency
Suggested Answer: C
Get Premium AHM-540 Questions
as Interactive Web-Based Practice Test or PDF
Real Exam Format
Detailed Explanations
Instant Access
Get Your Practice Test
35 comments · newest first
JI
Jillian
10 months ago
I've heard about the reduced standards for accredited delegates.
RE
Rene
11 months ago
Wait, can they really delegate everything? That seems risky!
JA
Jade
11 months ago
NCQA does let plans delegate all medical management functions.
DE
Delpha
11 months ago
Totally agree, but I think the oversight part is tricky.
AS
Asuncion
11 months ago
Sounds like a loophole to me, not sure if that's a good idea.
ST
Stephaine
11 months ago
I believe both statements could be true, but I’m leaning towards option A since it seems to align with what we discussed in class.
CH
Chun
12 months ago
I'm a bit confused about the first statement. I thought there were limits to what can be delegated under NCQA standards.
EL
Elly
12 months ago
I feel like we practiced a question similar to this where the delegate's accreditation affected oversight standards. Maybe that's option 2?
AL
Alesia
1 year ago
I think I remember that NCQA does allow some delegation, but I'm not entirely sure if it includes all medical management functions.
AJ
Aja
1 year ago
I've reviewed the key points, and I believe the correct answer is A. Both statements seem to be true based on the information provided.
RO
Royce
1 year ago
The wording on this question is a bit tricky. I'll need to re-read it a few times to make sure I understand.
DE
Deeann
1 year ago
Okay, let me break this down step-by-step and see if I can figure out the right answer.
DE
Delila
1 year ago
Hmm, I'm a little unsure about the details of accreditation standards for delegation. I'll need to read this carefully.
SU
Sue
1 year ago
This question seems straightforward, I think I can handle it.
JU
Jules
1 year ago
Hah, I bet the NCQA is just trying to make their job easier by letting health plans delegate everything. Meanwhile, the rest of us have to actually, you know, do the work.
BE
Bette
1 year ago
I guess we'll have to review the standards more closely to find out.
HO
Hoa
1 year ago
I'm not sure, but I think option C) 2 only might be the right answer.
YU
Yuki
1 year ago
I think option A) Both 1 and 2 is correct. What do you think?
EN
Enola
1 year ago
I agree, it does seem like they're taking the easy way out.
DI
Diane
2 years ago
Ooh, the accreditation standards get reduced if the delegate is already certified by the delegator's agency? That's an interesting loophole. I wonder if it's really that simple, though.
TE
Terrilyn
1 year ago
It could be a way to ensure that the delegate already meets certain quality standards.
LA
Laine
1 year ago
I think it's a way to streamline the process and recognize existing qualifications.
GE
German
1 year ago
Yes, it seems like having prior certification can make a difference in accreditation standards.
JO
Joanne
2 years ago
I'm not sure, but I think the answer might be C) 2 only.
ME
Melodie
2 years ago
I agree with Lindsey, because both statements seem to be correct.
CL
Claudia
2 years ago
Wait, the NCQA allows health plans to delegate all medical management functions? That seems like a lot of responsibility to hand off. I'd want to double-check that before answering.
AL
Alberto
1 year ago
Let's make sure we have all the information before choosing an answer.
GA
Gail
1 year ago
I believe both statements 1 and 2 are correct.
RO
Ronald
1 year ago
I think we should double-check the accreditation standards before making a decision.
CH
Charlene
1 year ago
I agree, delegating all medical management functions seems like a big responsibility.
DA
Darrin
1 year ago
That makes sense, let's go with A) Both 1 and 2 then.
TA
Tayna
1 year ago
I believe the answer is A) Both 1 and 2, based on the information provided.
MA
Mabel
1 year ago
I think we should double-check the NCQA standards before making a decision.
MO
Mose
2 years ago
I agree, it does seem like a lot of responsibility to delegate all medical management functions.
LI
Lindsey
2 years ago
I think the answer is A) Both 1 and 2.