AHIP Exam AHM-520 Topic 3 Question 23 Discussion

Actual exam question for AHIP's AHM-520 exam

Question #: 23
Topic #: 3

Health plans with risk-based Medicare contracts are required to calculate and submit to CMS a Medicare adjusted community rate (Medicare ACR). Medicare ACR can be defined as the:

AEstimated cost of providing services to a beneficiary under Medicare FFS, adjusted for factors such as age and gender

BHealth plan's estimate of the premium it would charge Medicare enrollees in the absence of Medicare payments to the health plan

CAverage amount the health plan expects to receive from CMS per beneficiary covered

DHealth plan's actual costs of providing benefits to Medicare enrollees in a given year

Show Suggested Answer

Suggested Answer: B

by Helga at May 06, 2022, 06:55 AM

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