AHIP Exam AHM-250 Topic 5 Question 78 Discussion

Actual exam question for AHIP's AHM-250 exam

Question #: 78
Topic #: 5

The following statements are about the various Health Plan Accountability Models adopted by the NAIC.

AUnder the terms of the Health Plan Network Adequacy Model Act, all health plans would be required to hold covered persons harmless against provider collections and provide continued coverage for uncompleted treatment in the event of plan insolvency

BThe Health Carrier Grievance Procedure Model Act requires all health carriers to maintain a first-level grievance review, but it does not require any second-level review

CAccording to the Health Care Professional Credentialing Verification Model Act, a health plan must select all providers who meet the plan's credentialing criteria

DThe Quality Assessment and Improvement Model Act exempts closed plans from implementing a quality improvement program.

Show Suggested Answer

Suggested Answer: A

by Tonette at Dec 11, 2023, 06:21 PM

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