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AHIP AHM-530 Exam - Topic 5 Question 50 Discussion

The Elizabethan Health Plan uses a direct referral program, which means that
A) PCPs in Elizabethan's network can make most referrals without obtaining prior authorization from Elizabethan
B) PCPs in Elizabethan's network must always refer plan members to other specialists within the network
C) Elizabethan's plan members can bypass the PCP and obtain medical services from a specialist without a referral
D) Elizabethan's plan members must obtain referrals directly from Elizabethan

AHIP AHM-530 Exam - Topic 5 Question 50 Discussion

Actual exam question for AHIP's AHM-530 exam
Question #: 50
Topic #: 5
[All AHM-530 Questions]

The Elizabethan Health Plan uses a direct referral program, which means that

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Suggested Answer: A

by James at May 07, 2022, 10:37 PM

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Azalee
11 months ago
I think A is the best choice based on what I've seen.
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Dorcas
11 months ago
Option B is misleading; referrals can happen outside the network too.
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Mona
11 months ago
Wait, can plan members really bypass the PCP? Sounds too good to be true!
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Norah
11 months ago
Totally agree, A makes the most sense here.
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Nakisha
11 months ago
I heard option A is correct! PCPs can refer without prior auth.
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Pura
12 months ago
Okay, I've got this. Board meetings are where the directors get together, so that's the one that's considered a "meeting of directors or management." I'm confident that's the correct answer.
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Elouise
12 months ago
Alright, I've got this. The three levels of the Architecture Landscape are Strategic, Segment, and Capability. I'm confident that's the right answer.
upvoted 0 times
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Diane
12 months ago
Wait, what's the difference between GPU, FPGA, and ASIC? I'm a bit confused on that.
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