AHIP Exam AHM-530 Topic 3 Question 33 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 33
Topic #: 3

Health plans typically conduct two types of reviews of a provider's medical records: an evaluation of the provider's medical record keeping (MRK) practices and a medical record review (MRR). One true statement about these types of reviews is that:

AAn MRK covers the content of specific patient records of a provider.

BThe NCQA requires an examination of MRK with all of a health plan's office evaluations.

CAn MRR includes a review of the policies, procedures, and documentation standards the provider follows to create and maintain medical records.

DThe NCQA requires MRR for both credentialing and recredentialing of providers in a health plan's network.

Show Suggested Answer

Suggested Answer: A

by Cheryl at May 05, 2022, 03:36 AM

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