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AHIP AHM-250 Exam - Topic 2 Question 125 Discussion

To determine fee reimbursements to be paid to physicians, the Triangle Health Plan assigns a weighted value to each medical procedure or service and multiplies the weighted value by a money multiplier. Triangle and the providers negotiate the value of the
B) Relative value scale (RVS)
A) Diagnosis-related group (DRG) system
C) Partial capitation arrangement
D) Capped fee system

AHIP AHM-250 Exam - Topic 2 Question 125 Discussion

Actual exam question for AHIP's AHM-250 exam
Question #: 125
Topic #: 2
[All AHM-250 Questions]

To determine fee reimbursements to be paid to physicians, the Triangle Health Plan assigns a weighted value to each medical procedure or service and multiplies the weighted value by a money multiplier. Triangle and the providers negotiate the value of the

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Suggested Answer: B

by Daron at May 05, 2026, 11:46 AM

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Wilda
2 hours ago
A) diagnosis-related group (DRG) could also work, but RVS seems more accurate.
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Dottie
5 days ago
I agree, RVS fits well with weighted values.
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Charlene
10 days ago
I think it's B) relative value scale (RVS). It makes sense for negotiations.
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Jina
16 days ago
I doubt the RVS is the right choice here, seems off.
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Cristy
21 days ago
Definitely not a capped fee system, that doesn't fit at all.
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Dean
26 days ago
Wait, are they really negotiating values? That's surprising!
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Ryan
1 month ago
I think it's more about the diagnosis-related group (DRG) system.
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Juan
1 month ago
Sounds like they're using a relative value scale (RVS) for sure.
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Ethan
1 month ago
I feel like the partial capitation arrangement could fit, but I can't recall the specifics of how it works in this context.
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Raymon
3 months ago
The term "money multiplier" makes me lean towards the capped fee system, but I could be mixing it up with something else we studied.
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Christene
3 months ago
I remember practicing a question about DRGs, but I don't think that's what they're using here since it sounds more like a negotiation process.
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Mabelle
3 months ago
I think this might relate to the relative value scale, but I'm not entirely sure if that's the right term for the weighted values.
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