AHIP AHM-530 Exam - Topic 1 Question 23 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 23
Topic #: 1

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:

Aprohibit 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

Ballow Dr. Patel to bill patients for services only if the services are considered to be medically necessary

Cestablish 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

Drequire Dr. Patel to accept Arbor's payment as payment in full for medical services that he provides to Arbor plan members

Show Suggested Answer

Suggested Answer: D

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

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7 months ago

I think it's definitely D. He has to accept Arbor's payment as full.

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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

7 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!

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Sharee

7 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.

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AHIP AHM-530 Exam - Topic 1 Question 23 Discussion

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