AHIP Exam AHM-540 Topic 5 Question 103 Discussion

Actual exam question for AHIP's AHM-540 exam

Question #: 103
Topic #: 5

Health plans have a specified number of working days to respond to Level One appeals, as stated by company policy or regulatory requirements. With regard to the timeframes for appeals, it is generally correct to say

That the typical timeframe requires a health plan to respond to appeals in fewer than 20 days

That the timeframe is accelerated for expedited appeals

That the review period begins when the appeal arrives at a health plan

AAll of the above

B1 and 2 only

C1 and 3 only

D2 and 3 only

Show Suggested Answer

Suggested Answer: D

by Sheron at Nov 18, 2024, 10:54 AM

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Gabriele

2 days ago

I'm not sure about the review period beginning when the appeal arrives at a health plan, so I think the answer is A) All of the above.

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Madelyn

8 days ago

I agree with Dierdre, because health plans must respond to appeals in fewer than 20 days and expedited appeals have an accelerated timeframe.

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Dierdre

10 days ago

I think the correct answer is A) All of the above.

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