AHIP Network Management AHM-530 Question # 118 Topic 6 Discussion

AHIP Network Management AHM-530 Question # 118 Topic 6 Discussion

AHM-530 Exam Topic 6 Question 118 Discussion:
Question #: 118
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


A.

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


B.

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


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


D.

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


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