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AHIP AHM-520 Exam - Topic 6 Question 21 Discussion

Posted by Stephen on May 09, 2022 at 05:24 AM

Geena Falk is eligible for both Medicare and Medicaid coverage. If Ms. Falk incurs a covered expense, then:

Suggested Answer: B

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11 comments · newest first
OR
Orville 12 months ago
Not sure about that, seems confusing to me.
VI
Viola 12 months ago
Totally agree, Medicare typically takes the lead!
JA
Jamika 12 months ago
Wait, can they really choose which one is primary?
GW
Gwen 1 year ago
I thought Medicaid was primary for low-income folks?
SH
Shakira 1 year ago
Medicare is usually the primary for dual eligibles.
ME
Meghann 1 year ago
I'm feeling pretty confident about this one. The key is understanding the coordination of benefits between Medicare and Medicaid. Medicare is always the primary payer for dual-eligible individuals like Ms. Falk.
MA
Macy 1 year ago
Okay, let me walk through this step-by-step. If Ms. Falk is eligible for both Medicare and Medicaid, then Medicaid will act as the secondary payer and cover any costs that Medicare doesn't. So the correct answer must be B.
IR
Irene 1 year ago
Hmm, I'm a little confused on this one. I know there's some specific rules around dual eligibility, but I can't quite recall the details. I'll have to think this through carefully.
TO
Tomoko 1 year ago
I'm pretty sure the answer is B - Medicare will be Ms. Falk's primary insurer. I remember learning that Medicare is always the primary coverage for individuals eligible for both Medicare and Medicaid.
LE
Lelia 1 year ago
I'm not totally sure about this one. Creating a new store view and developing a custom module to extend the price capabilities could also be an option. I'll have to think it through a bit more.
TA
Tashia 1 year ago
I'm pretty sure a REQ number represents the order number, so I'll go with option A.
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