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AHIP Exam AHM-530 Topic 6 Question 90 Discussion

Actual exam question for AHIP's AHM-530 exam
Question #: 90
Topic #: 6
[All AHM-530 Questions]

The Ross Health Plan compensates Dr. Cecile Sanderson on a FFS basis. In order to increase the level of reimbursement that she would receive from Ross, Dr. Sanderson submitted the code for a comprehensive office visit. The services she actually provided represented an intermediate level of service. Dr. Sanderson's action is an example of a type of false billing procedure known as

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Suggested Answer: A

by Leonor at Jun 23, 2024, 05:05 AM

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Ivan
8 months ago
I think A is the correct answer too. Canyon is really digging deep into Dr. Enberg's performance data to make sure she's meeting their standards. Gotta love that attention to detail!
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Larue
6 months ago
Dr. Enberg must really have to stay on top of everything to meet Canyon's standards. A lot of pressure!
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Audry
6 months ago
It's impressive how Canyon uses process measures to ensure quality care. Attention to detail is key.
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Yolando
7 months ago
I agree, A seems like the correct answer. Canyon is really thorough in evaluating Dr. Enberg's performance.
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Pansy
7 months ago
Attention to detail is key when it comes to evaluating healthcare providers like Dr. Enberg. Canyon is definitely thorough.
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Carisa
7 months ago
It's impressive how Canyon is using process measures to ensure Dr. Enberg is meeting their standards.
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Willard
8 months ago
I agree, A seems like the correct answer. Canyon is really thorough in evaluating Dr. Enberg's performance.
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Rory
8 months ago
I agree, it's important to ensure patients are receiving the appropriate care at the right time.
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Maybelle
9 months ago
That makes sense, process measures are usually about assessing the quality of care provided.
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Pearly
9 months ago
Haha, I wonder if Canyon also checked to see if Dr. Enberg's patients were turning into superheroes after their treatments. Outcomes measures are important, but you can't beat a good old-fashioned process measure!
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Krystal
8 months ago
I agree, outcomes measures are crucial, but process measures give a different perspective on performance.
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Davida
8 months ago
Haha, that would be interesting to see! Process measures are definitely important for evaluating performance.
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Robt
9 months ago
I believe the answer is A) Dr. Enberg's young patients receive appropriate immunizations at the right ages.
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Maybelle
9 months ago
I think the question is asking about how Dr. Enberg's performance is evaluated.
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Jacki
9 months ago
I agree, A is the right answer. Process measures like immunization rates are important indicators of the quality of care being provided.
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Junita
9 months ago
Yes, process measures like immunization rates can give a good indication of the quality of care being provided. It's an important aspect to consider during recredentialing.
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Sharmaine
9 months ago
I think A is the correct answer too. Immunization rates are crucial for evaluating a provider's performance.
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Lavonda
9 months ago
The correct answer is A. Evaluating whether a provider's young patients receive appropriate immunizations at the right ages is a process measure, as it looks at the steps taken to provide care rather than the actual outcomes.
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Barrett
8 months ago
Exactly, it's not about the outcomes but the process measures.
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Raina
9 months ago
Oh, I see. So it's about the steps taken to provide care.
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Nan
9 months ago
A) Dr. Enberg's young patients receive appropriate immunizations at the right ages
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