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AHIP Exam AHM-250 Topic 5 Question 76 Discussion

Actual exam question for AHIP's AHM-250 exam
Question #: 76
Topic #: 5
[All AHM-250 Questions]

Dr. Milton Ware, a physician in the Riverside MCO's network of providers, is reimbursed under a fee schedule arrangement for medical services he provides to Riverside members. Dr. Ware's provider contract with Riverside contains a typical no-balance billi

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Suggested Answer: A

by Tonette at Oct 20, 2023, 04:41 AM

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Christa
4 days ago
I think A is the right answer. The no-balance billing clause should prevent Dr. Ware from making the member pay any cost-sharing like coinsurance or deductibles that Riverside's plan covers.
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Talia
6 days ago
The correct answer is B. The no-balance billing clause in Dr. Ware's contract requires him to accept Riverside's payment as full compensation and not bill the member for additional amounts. This protects the member from unexpected costs.
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Felix
12 days ago
I'm not sure, but I think it's either A or B.
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Paris
13 days ago
I agree with Paz, Dr. Ware must accept the amount Riverside pays.
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Paz
14 days ago
I think the answer is B.
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