AHIP AHM-520 Exam - Topic 6 Question 1 Discussion

Actual exam question for AHIP's AHM-520 exam

Question #: 1
Topic #: 6

Under the doctrine of corporate negligence, a health plan and its physician administrators may be held directly liable to patients or providers for failing to investigate adequately the competence of healthcare providers whom it employs or with whom it contracts, particularly where the health plan actually provides healthcare services or restricts the patient's/enrollee's choice of physician.

ATrue

BFalse

Show Suggested Answer

Suggested Answer: A

by Refugia at May 05, 2022, 08:57 PM

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Princess

5 months ago

False! I don't think that's how it works.

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Eveline

5 months ago

This makes sense, accountability is key!

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Arlette

5 months ago

Wait, really? I thought it was just the providers who were liable.

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Darrel

5 months ago

Totally agree with this statement.

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Dudley

5 months ago

That's true, they can be held liable!

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Juan

6 months ago

I think changing the CIR-level value for the best-effort queue to 1 might be the way to go, but I'm not 100% sure. I'll double-check the options.

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Jaime

6 months ago

I'm a bit confused on the differences between the node roles. I'll need to review my notes to make sure I understand the key responsibilities of each one before I can confidently answer this.

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Joana

6 months ago

I feel like training access might not be as critical in driving value compared to the security or innovation options.

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Margurite

6 months ago

This question seems straightforward, I think I can handle it.

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Germaine

6 months ago

Okay, I think I've got this. If the company buys back shares, that will reduce the number of shares outstanding, so the "number of shares in issue" should decrease. And with the same earnings but fewer shares, the dividend per share should also go down. The gearing based on book value should decrease too, since the debt is staying the same but the equity is going down. I'm pretty confident I can identify the 3 correct answers here.

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