AHIP AHM-530 Exam - Topic 2 Question 24 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 24
Topic #: 2

The provider contracts that the Indigo Health Plan has with its providers include a clause which states that Indigo's denial of payment for a certain medical procedure does not constitute a medical opinion and is not intended to interfere with the provider-patient relationship. This information indicates that Indigo's provider contracts include:

AA business confidentiality clause.

BA scope of services clause.

CAn informed refusal clause.

DAn exculpation clause.

Show Suggested Answer

Suggested Answer: D

by Blair at May 09, 2022, 08:14 AM

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Nieves

6 months ago

I think it’s a scope of services clause, actually.

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Vi

6 months ago

Definitely a business confidentiality clause!

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Tawna

7 months ago

Wait, so they can deny payment but not give a medical opinion? That's weird.

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Sherita

7 months ago

I disagree, it seems more like an informed refusal clause.

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Lasandra

7 months ago

Sounds like an exculpation clause to me.

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Erasmo

7 months ago

I'm a bit confused on how the Cobweb model works, but I think the key is looking at the relative elasticities of demand and supply. I'll have to review my notes.

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Lettie

7 months ago

I remember calculating the weighted average contribution last week, but I'm unsure about the exact formula to use here.

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Maybelle

7 months ago

Hmm, I'm a bit unsure about this one. I know OVM has a master-slave architecture, but I can't quite recall how it handles a master server failure. I'll have to think this through step-by-step.

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