AHIP Exam AHM-530 Topic 6 Question 86 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 86
Topic #: 6

Following statements are about accreditation of health plans:

AThe National Committee for Quality Assurance (NCQA) serves as the primary accrediting agency for most health maintenance organizations (HMOs).

BThe Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has developed standards that can be used for the accreditation of hospitals, but not for the accreditation of health plan provider networks or health plan plans.

CStates are required to adopt the model standards developed by the National Association of Insurance Commissioners (NAIC), an organization of state insurance regulators that develops standards to promote uniformity in insurance regulations.

DAccreditation is an evaluative process in which a health plan undergoes an examination of its operating procedures to determine whether the procedures meet designated criteria as defined by the federal government or by the state governments.

Show Suggested Answer

Suggested Answer: D

by Tyra at Apr 28, 2024, 12:32 AM

Limited Time Offer

25%

11 months ago

Hey, did anyone else find the OBRA 1986 question tricky?

upvoted 0 times

...