AHIP Exam AHM-540 Topic 1 Question 104 Discussion

Actual exam question for AHIP's AHM-540 exam

Question #: 104
Topic #: 1

To see that utilization guidelines are consistently applied, UR programs rely on authorization systems. Determine whether the following statement about authorization systems is true or false:

Only physicians can make nonauthorization decisions based on medical necessity.

ATrue

BFalse

Show Suggested Answer

Suggested Answer: B

by Elmira at Dec 09, 2024, 11:35 AM

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Gussie

4 months ago

As a nurse, I have to say that physicians don't get to make all the calls around here. We're just as qualified to assess medical necessity and make those tough decisions. This question is a bit of a joke, if you ask me.

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Valene

3 months ago

Absolutely, nurses are qualified to make those tough calls. The statement is definitely false.

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Jeffrey

3 months ago

I think the statement is false. Nurses can definitely make nonauthorization decisions based on medical necessity.

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Kristofer

3 months ago

I agree, nurses play a crucial role in assessing medical necessity. It's not just up to the physicians.

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Samuel

4 months ago

Well, well, well... looks like someone's trying to trip us up with a trick question. I bet the real answer is something like 'Only physicians can make nonauthorization decisions based on medical necessity... unless they've delegated that authority to other qualified professionals.' Am I right, or am I right?

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Arthur

3 months ago

I agree, it seems like the answer is False.

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Marylou

3 months ago

I think you're onto something there. It's probably False.

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Matilda

3 months ago

B) False

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Wenona

4 months ago

A) True

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Tish

4 months ago

Hmm, I'm pretty sure the answer is B) False. Most UR programs allow case managers, nurses, and other clinicians to make nonauthorization decisions in addition to physicians. Physicians don't have the monopoly on that power.

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Selma

3 months ago

I think it's B) False too. It's not limited to just physicians.

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Winfred

3 months ago

That's right, B) False. Case managers and nurses can also make those decisions.

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Lilli

3 months ago

I agree, B) False. It's not just physicians who can make nonauthorization decisions.

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Florinda

3 months ago

Yes, B) False. Other clinicians besides physicians can make nonauthorization decisions.

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Theresia

4 months ago

I think the answer is B) False. It's not limited to just physicians.

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Val

4 months ago

That's right, B) False. Case managers and nurses can also make those decisions.

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Cecilia

4 months ago

I agree, B) False. It's not just physicians who can make nonauthorization decisions.

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Nettie

4 months ago

Ugh, I hate these True/False questions. There's always some little caveat that makes it not a straightforward answer. I'm just going to guess B) False and hope for the best.

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Rosalind

5 months ago

This is a tricky one. While physicians typically have the final say on medical necessity, some UR programs may allow other qualified healthcare professionals to make nonauthorization decisions as well. I'll have to think carefully about this one.

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