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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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Raymon
1 month 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
2 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
2 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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