AHIP Exam AHM-530 Topic 6 Question 73 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 73
Topic #: 6

Prior to the enactment of the Balanced Budget Act (BBA) of 1997, payment for Medicare-covered primary and acute care services was based on the adjusted average per capita cost (AAPCC). The AAPCC is defined as the

Aaverage cost of services delivered to all patients living in a specified geographic region

Bactuarial value of the deductible and coinsurance amounts for basic Medicare-covered benefits

Cfee-for-service amount that the Centers for Medicaid and Medicare Services (CMS) would pay for a Medicare beneficiary, adjusted for age, sex, and institutional status

Daverage fixed monthly fee paid by all Medicare enrollees in a specified geographic region

Show Suggested Answer

Suggested Answer: D

by Meaghan at Aug 04, 2023, 05:27 PM

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Desirae

Hmm, this seems pretty straightforward. I'm going with C as well. CMS definitely adjusts the payment based on those demographic factors.

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Douglass

3 days ago

I think the answer is C. The AAPCC is the fee-for-service amount that CMS would pay for a Medicare beneficiary, adjusted for age, sex, and institutional status.

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Wayne

5 days ago

I think the answer is C.

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