AHIP Exam AHM-530 Topic 4 Question 95 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 95
Topic #: 4

The provider contract that Dr. Huang Kwan has with the Poplar Health Plan includes a typical scope of services provision. The medical service that Dr. Kwan provided to Alice Meyer, a Poplar plan member, is included in the scope of services. The following statement(s) can correctly be made about this particular medical service:

ADr. Kwan most likely was required to seek authorization from Poplar before performing this particular service.

BDr. Kwan most likely was paid on a FFS basis for providing this service.

CBoth A and B

DA only

EB only

FNeither A nor B

Show Suggested Answer

Suggested Answer: B

by Yvette at Aug 25, 2024, 10:55 PM

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Belen

6 days ago

Hmm, this looks like a tricky one. I'm going to go with option C - both A and B seem plausible based on the typical scope of services provision. After all, who wants to get on the bad side of the Poplar Health Plan?

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