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AHIP Exam AHM-530 Topic 4 Question 104 Discussion

Actual exam question for AHIP's AHM-530 exam
Question #: 104
Topic #: 4
[All AHM-530 Questions]

When evaluating the success of providers in meeting standards, a health plan must make adjustments for case mix or severity. One true statement about case mix/severity adjustments is that they:

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Suggested Answer: B

by Gerry at Dec 10, 2024, 10:46 PM

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Willetta
3 months ago
I'd say the answer is a case of 'mix and match' - gotta find the right fit!
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Cecilia
3 months ago
Hey, at least they're not asking about the case of the missing patient files. That would be a real mix-up!
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Shakira
2 months ago
C) Tend to increase the number of providers who are considered to be outliers
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Lynelle
2 months ago
B) Help compensate for any unusual factors that may exist in a provider's patient population or in a particular patient
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Elenora
2 months ago
A) Typically are more important in measuring the performance of PCPs than they are in measuring the performance of specialists
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Yuonne
3 months ago
B is the way to go. Providers shouldn't be penalized for having sicker patients. That's just common sense.
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Hillary
3 months ago
I'd go with B as well. Ignoring case mix would be like comparing apples to oranges.
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Royal
2 months ago
C) Tend to increase the number of providers who are considered to be outliers
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Brittney
2 months ago
I agree, it's important to consider the unique factors that can affect outcomes.
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Zena
2 months ago
B) Help compensate for any unusual factors that may exist in a provider's patient population or in a particular patient
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Catrice
2 months ago
A) Typically are more important in measuring the performance of PCPs than they are in measuring the performance of specialists
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Kenny
3 months ago
I think option B is the correct answer, as it mentions compensating for unusual factors in patient populations.
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Alberto
3 months ago
I agree, B seems like the best answer. Adjustments are needed to level the playing field.
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Hailey
3 months ago
I agree, B does seem like the best choice. It's important to make sure the data is fair and accurate.
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Merri
3 months ago
I think B is the correct answer. It helps to account for any unique factors in a provider's patient population.
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Laura
3 months ago
I believe they can also prevent unfairly labeling providers as outliers.
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Winfred
3 months ago
I agree, they help account for differences in patient populations.
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Leonida
4 months ago
Definitely B. Accounting for patient population factors is crucial to accurately assess provider performance.
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Victor
3 months ago
Yes, they allow for a fair comparison between providers and help to account for differences in patient populations.
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Virgina
3 months ago
It's true that these adjustments can make a more accurate assessment of provider performance.
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Kayleigh
3 months ago
Case mix/severity adjustments help to compensate for any unusual factors that may exist in a provider's patient population.
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Shannon
3 months ago
I agree, B is the correct answer. It's important to consider patient population factors.
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Iraida
4 months ago
I think case mix/severity adjustments are crucial in evaluating provider success.
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