AHIP AHM-530 Exam - Topic 4 Question 27 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 27
Topic #: 4

The provider contract that Dr. Nick Mancini has with the Utopia Health Plan includes a clause that requires Utopia to reimburse Dr. Mancini on a fee-for-service (FFS) basis until 100 Utopia members have selected him as their primary care provider (PCP). At that time, Utopia will begin reimbursing him under a capitated arrangement. This clause in Dr. Mancini's provider contract is known as:

Aan antidisparagement clause

Ba low-enrollment guarantee clause

Ca retroactive enrollment changes clause

Dan eligibility guarantee clause

Show Suggested Answer

Suggested Answer: B

by Kaitlyn at May 09, 2022, 04:16 PM

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Benton

6 months ago

Eligibility guarantee clause? Nah, that's not it.

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Lucy

6 months ago

Wait, is this really how contracts work? Seems odd.

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Benedict

7 months ago

Agree, it sounds like a low-enrollment guarantee to me.

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Jessenia

7 months ago

I thought it was a retroactive enrollment changes clause?

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Miesha

7 months ago

That's definitely a low-enrollment guarantee clause!

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Huey

7 months ago

I remember learning about this in class, but I can't recall the exact company. I'll have to make an educated guess.

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Valentine

7 months ago

Hmm, this looks like a tricky XSLT question. I'll need to carefully read through the XML document and the expected output to figure out the right approach.

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Herminia

7 months ago

I've seen questions like this before, I think I know the right approach to solve it.

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Van

7 months ago

This seems like a tricky one. I'll need to think through the security constraints carefully.

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