AHIP Exam AHM-530 Topic 6 Question 73 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 73
Topic #: 6

Prior to the enactment of the Balanced Budget Act (BBA) of 1997, payment for Medicare-covered primary and acute care services was based on the adjusted average per capita cost (AAPCC). The AAPCC is defined as the

Aaverage cost of services delivered to all patients living in a specified geographic region

Bactuarial value of the deductible and coinsurance amounts for basic Medicare-covered benefits

Cfee-for-service amount that the Centers for Medicaid and Medicare Services (CMS) would pay for a Medicare beneficiary, adjusted for age, sex, and institutional status

Daverage fixed monthly fee paid by all Medicare enrollees in a specified geographic region

Show Suggested Answer

Suggested Answer: D

by Meaghan at Aug 04, 2023, 05:27 PM

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Polly

30 days ago

Ha! AAPCC sounds like something you'd find in a medical dictionary. I'm just going to close my eyes and pick an answer. C seems as good as any.

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Evette

1 months ago

I was leaning towards A, but now I'm not so sure. This Balanced Budget Act stuff has me a bit confused. Maybe I should have paid more attention in my Medicare policy class.

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Caren

5 days ago

C) fee-for-service amount that the Centers for Medicaid and Medicare Services (CMS) would pay for a Medicare beneficiary, adjusted for age, sex, and institutional status

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Hannah

9 days ago

I think that's correct. The AAPCC was based on the average cost of services in a specific area.

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Santos

17 days ago

A) average cost of services delivered to all patients living in a specified geographic region

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Wayne

2 months ago

But C makes more sense because it takes into account age, sex, and institutional status.

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Crista

2 months ago

I disagree, I believe the answer is A.

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Desirae

2 months ago

Hmm, this seems pretty straightforward. I'm going with C as well. CMS definitely adjusts the payment based on those demographic factors.

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Lashonda

30 days ago

Yeah, that makes sense. It's important to adjust payments based on those factors.

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Felton

1 months ago

I think it's C too. CMS does take into account age, sex, and institutional status.

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Douglass

2 months ago

I think the answer is C. The AAPCC is the fee-for-service amount that CMS would pay for a Medicare beneficiary, adjusted for age, sex, and institutional status.

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