AHIP Exam AHM-530 Topic 5 Question 69 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 69
Topic #: 5

The Omni Health Plan is interested in expanding the specialty services it offers to its plan members and is considering contracting with the following providers of specialty services:

The Apex Company, a managed vision care organization (MVCO)

The Baxter Managed Behavioral Healthcare Organization (MBHO)

The Cheshire Dental Health Maintenance Organization (DHMO)

As part of its credentialing process, Omni would like to verify that each of these providers has met NCQA's accreditation standards. However, with regard to these three specialty service providers, an NCQA accreditation program currently exists for

AApex and Baxter only

BApex and Cheshire only

CBaxter and Cheshire only

DBaxter only

Show Suggested Answer

Suggested Answer: D

by Vi at Apr 25, 2023, 03:02 PM

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Onita

6 days ago

This is a tricky one, but I think Mireya nailed it. NCQA is all about accrediting healthcare providers, so the obvious choices are the vision and dental organizations, not the behavioral health one.

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Leoma

9 days ago

Haha, I almost went with D) Baxter only because 'Baxter' sounds like a medical company. But I'm glad I read the question more carefully. NCQA definitely has programs for vision and dental, not behavioral health.

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Mari

14 days ago

I was leaning towards C) Baxter and Cheshire only, since NCQA seems to have a focus on healthcare organizations. But you're right, the question specifically mentions NCQA accreditation, and that aligns with B.

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Mireya

15 days ago

The correct answer is B) Apex and Cheshire only. NCQA has accreditation programs for managed vision care organizations and dental health maintenance organizations, but not for managed behavioral healthcare organizations.

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