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

APCPs in Elizabethan's network can make most referrals without obtaining prior authorization from Elizabethan

BPCPs in Elizabethan's network must always refer plan members to other specialists within the network

CElizabethan's plan members can bypass the PCP and obtain medical services from a specialist without a referral

DElizabethan's plan members must obtain referrals directly from Elizabethan

Show Suggested Answer

Suggested Answer: A

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

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Azalee

6 months ago

I think A is the best choice based on what I've seen.

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Dorcas

6 months ago

Option B is misleading; referrals can happen outside the network too.

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Mona

7 months ago

Wait, can plan members really bypass the PCP? Sounds too good to be true!

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Norah

7 months ago

Totally agree, A makes the most sense here.

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Nakisha

7 months ago

I heard option A is correct! PCPs can refer without prior auth.

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Pura

7 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

7 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.

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Diane

7 months ago

Wait, what's the difference between GPU, FPGA, and ASIC? I'm a bit confused on that.

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