AHIP Exam AHM-540 Topic 3 Question 105 Discussion

Actual exam question for AHIP's AHM-540 exam

Question #: 105
Topic #: 3

The following statement(s) can correctly be made about medical management considerations for the Federal Employee Health Benefits Program (FEHBP):

FEHBP plan members who have exhausted the health plan's usual appeals process for a disputed decision can request an independent review by the Office of Personnel Management (OPM)

All health plans that cover federal employees are required to develop and implement patient safety initiatives

ABoth 1 and 2

B1 only

C2 only

DNeither 1 nor 2

Show Suggested Answer

Suggested Answer: A

by Omer at Jan 15, 2025, 02:14 AM

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Christene

2 months ago

Haha, this question is a real trip, am I right? Personally, I'm going with D - neither of these statements are correct. The FEHBP is like a maze of red tape and loopholes, and the patient safety stuff is probably just a way for the government to look good on paper. But hey, at least we can all laugh about it while we try to figure out the right answer.

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Cecil

27 days ago

Yeah, I agree. It's definitely not as straightforward as it seems.

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Haydee

29 days ago

B) 1 only

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Loreen

1 months ago

I think you might be onto something with option D. The FEHBP can be pretty complicated.

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Ezekiel

1 months ago

Haha, yeah, it can be confusing. I think it's D too. The FEHBP can be a headache to navigate.

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Brandon

2 months ago

A) Both 1 and 2

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Michell

2 months ago

I'm not sure about the second statement, so I think the answer is B) 1 only.

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Jeanice

2 months ago

Dude, I got this one. It's gotta be B - the first statement about the independent review process is spot on, but the second one about patient safety initiatives is just a load of bureaucratic mumbo-jumbo. The government can't even get the post office to run on time, you think they're gonna make the insurance companies do something useful? Not a chance.

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Kandis

30 days ago

I'm with you on this one, it's definitely B. The independent review process is important, but patient safety initiatives are not mandatory for all FEHBP plans.

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Paola

1 months ago

I disagree, I believe it's B. The first statement is accurate, but the second one is not a requirement for all health plans that cover federal employees.

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Dong

2 months ago

I think it's A - both statements are correct. The independent review process and patient safety initiatives are part of the medical management considerations for FEHBP.

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Fidelia

2 months ago

I agree with Jamal, because FEHBP plan members should have the right to request an independent review by OPM.

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Jamal

2 months ago

I think the answer is A) Both 1 and 2.

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Ilda

2 months ago

Hmm, I'm not so sure about that. Doesn't the FEHBP have some oversight on patient safety? I could've sworn I read something about that. Maybe I'm just imagining things, or maybe I've been spending too much time reading government healthcare regulations. Either way, I'm gonna go with option A just to be safe.

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Nguyet

1 months ago

Definitely, both statements can correctly be made about medical management considerations for the FEHBP.

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Lavonna

2 months ago

So, option A seems like the correct choice then.

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Dong

2 months ago

Yeah, they require all health plans that cover federal employees to develop and implement patient safety initiatives.

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Lera

2 months ago

I think you're right, the FEHBP does have oversight on patient safety.

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Ora

2 months ago

I'm pretty sure the correct answer is B, only the first statement is true. The FEHBP does have an independent review process, but not all health plans are required to have patient safety initiatives.

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Latosha

2 months ago

So the correct answer is B, only 1 is true.

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Maryrose

2 months ago

Yeah, I agree, the second statement is not correct.

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Marci

2 months ago

I think you're right, the first statement is true.

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