AHM-530 Exam Dumps : Network Management

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

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

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

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

has a legal right to access a prospective provider’s confidential medical records at any time

must limit any evaluations of a prospective provider’s office to an assessment of quantitative factors, such as the number of double-booked appointments a physicianaccepts at the end of each day

is prohibited by law from conducting primary verification of such data as a prospective provider’s scope of medical malpractice insurance coverage and federal tax identification number

must complete the credentialing process before a provider signs the network contract or must include in the signed document a provision that the final contract is contingent upon the completion of the credentialing process

The BBA requires Medicare+Choice organizations to be licensed as non-risk-bearing entities under federal law.

The Centers for Medicaid and Medicare Services (CMS) is responsible for implementing the BBA.

Both A and B

A only

B only

Neither A nor B