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AHIP Medical Management AHM-540 Question # 84 Topic 4 Discussion

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AHIP Medical Management AHM-540 Question # 84 Topic 4 Discussion

AHM-540 Exam Topic 4 Question 84 Discussion:
Question #: 84
Topic #: 4

The paragraph below contains an incomplete statement. Select the answer choice containing the term that correctly completes the paragraph.

The Balanced Budget Act (BBA) of 1997 established the use of ___________ to determine coverage of emergency services for Medicare and Medicaid enrollees in health plans.

A.

utilization management standards

B.

the prudent layperson standard

C.

preauthorization

D.

diagnosis-based retrospective review

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Actual exam question for AHIP AHM-540 exam by Jett583 at Aug 3, 2025, 12:00:00 AM

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