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AHIP AHM-540 Exam - Topic 2 Question 110 Discussion

Posted by Viva on Apr 05, 2025 at 02:34 AM

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

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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
↳ replying to Jules
I guess we'll have to review the standards more closely to find out.
HO
Hoa 1 year ago
↳ replying to Jules
I'm not sure, but I think option C) 2 only might be the right answer.
YU
Yuki 1 year ago
↳ replying to Jules
I think option A) Both 1 and 2 is correct. What do you think?
EN
Enola 1 year ago
↳ replying to Jules
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
↳ replying to Diane
It could be a way to ensure that the delegate already meets certain quality standards.
LA
Laine 1 year ago
↳ replying to Diane
I think it's a way to streamline the process and recognize existing qualifications.
GE
German 1 year ago
↳ replying to Diane
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
↳ replying to Claudia
Let's make sure we have all the information before choosing an answer.
GA
Gail 1 year ago
↳ replying to Claudia
I believe both statements 1 and 2 are correct.
RO
Ronald 1 year ago
↳ replying to Claudia
I think we should double-check the accreditation standards before making a decision.
CH
Charlene 1 year ago
↳ replying to Claudia
I agree, delegating all medical management functions seems like a big responsibility.
DA
Darrin 1 year ago
↳ replying to Claudia
That makes sense, let's go with A) Both 1 and 2 then.
TA
Tayna 1 year ago
↳ replying to Claudia
I believe the answer is A) Both 1 and 2, based on the information provided.
MA
Mabel 1 year ago
↳ replying to Claudia
I think we should double-check the NCQA standards before making a decision.
MO
Mose 2 years ago
↳ replying to Claudia
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.
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