AHIP Exam AHM-540 Topic 4 Question 62 Discussion

Actual exam question for AHIP's AHM-540 exam

Question #: 62
Topic #: 4

One way that health plans evaluate their UR programs is by monitoring utilization rates. By definition, utilization rates typically

Aindicate changes in the total amount of medical expenses or claim dollars paid for particular procedures

Bmeasure the number of services provided per 1,000 members per year

Cindicate standard approaches to care for many common, uncomplicated healthcare services

Dreport the number of times that a particular provider performs or recommends a service excluded from the benefit plan

Show Suggested Answer

Suggested Answer: B

by Fausto at Dec 06, 2022, 11:00 AM

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