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AHIP AHM-530 Exam - Topic 1 Question 23 Discussion

The provider contract that Dr. Bijay Patel has with the Arbor Health Plan includes a no-balancebilling clause. The purpose of this clause is to:
D) require Dr. Patel to accept Arbor's payment as payment in full for medical services that he provides to Arbor plan members
A) prohibit Dr. Patel from collecting payments from Arbor plan members for medical services that he provided them, even if the services are explicitly excluded from the benefit plan
B) allow Dr. Patel to bill patients for services only if the services are considered to be medically necessary
C) establish the guidelines used to determine if Arbor is the primary payor of benefits in a situation in which an Arbor plan member is covered by more than one health plan

AHIP AHM-530 Exam - Topic 1 Question 23 Discussion

Actual exam question for AHIP's AHM-530 exam
Question #: 23
Topic #: 1
[All AHM-530 Questions]

The provider contract that Dr. Bijay Patel has with the Arbor Health Plan includes a no-balancebilling clause. The purpose of this clause is to:

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Suggested Answer: D

by Kattie at May 07, 2022, 12:11 PM

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Jaclyn
11 months ago
D is correct! It's all about protecting patients from surprise bills.
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Milly
11 months ago
I thought it was A at first, but D makes more sense.
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Emilio
11 months ago
Wait, are you sure about that? Sounds too good to be true.
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Weldon
11 months ago
Totally agree with D! No-balance billing means no extra charges.
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Amalia
11 months ago
I think it's definitely D. He has to accept Arbor's payment as full.
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Sean
12 months ago
Okay, the key is to navigate to the Time Card Entry UI and create a new custom setting for the Consultant profile. Then I just need to change the 'Task Time Entry Mode' to 'Calculated'. Shouldn't be too difficult.
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Michell
12 months ago
Okay, let's think this through step-by-step. I know the key is to identify the critical data needed, determine the sources, and develop a communication plan. I've got this!
upvoted 0 times
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Sharee
12 months ago
Ah, I've seen this type of question before. Based on my experience, the maximum number of DNS SRV entries is 8, so I'll select option B.
upvoted 0 times
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