AHIP Exam AHM-530 Topic 5 Question 68 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 68
Topic #: 5

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:

ATypically are more important in measuring the performance of PCPs than they are in measuring the performance of specialists

BHelp compensate for any unusual factors that may exist in a provider's patient population or in a particular patient

CTend to increase the number of providers who are considered to be outliers

DAllow for a more equitable comparison of data between providers of outpatient care but not providers of inpatient care

Show Suggested Answer

Suggested Answer: B

by Rickie at Apr 02, 2023, 11:22 AM

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