AHIP AHM-530 Exam - Topic 5 Question 82 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 82
Topic #: 5

Reimbursement for prescription drugs and services in a third-party prescription drug plan typically follows one of two approaches: a reimbursement approach or a service approach. One true statement about these approaches is that:

APayments under the reimbursement method typically are not subject to any copayment or deductible requirements

BPayments under the reimbursement approach are typically based on a structured reimbursement schedule rather than on usual, customary, and reasonable (UCR) charges

CMost major medical plans follow a service approach

DMost current health plan prescription drug plans are service plans

Show Suggested Answer

Suggested Answer: D

by Stephane at Mar 10, 2024, 07:59 PM

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Tish

4 months ago

Structured reimbursement schedules are pretty common, yeah.

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Devorah

4 months ago

Wait, are there really no copays with the reimbursement method?

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Juan

4 months ago

Definitely, service plans are the norm nowadays.

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Marti

4 months ago

I thought reimbursement methods had copays too?

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Tracie

5 months ago

Most health plans do use a service approach, that's true.

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King

5 months ago

I believe that many current health plan prescription drug plans are indeed service plans, but I need to double-check that.

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Wai

5 months ago

I feel like most major medical plans do follow a service approach, but I can't recall the specifics right now.

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Maryann

5 months ago

I remember practicing a question about how reimbursement schedules work, and I think they often do use UCR charges.

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Jesusita

5 months ago

I think the reimbursement method usually involves some copayment, but I'm not entirely sure.

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Garry

5 months ago

Ah, I remember this topic from the lectures. The reimbursement method typically doesn't have copayments or deductibles, so I think option A is the correct answer. I feel good about this one.

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Coleen

5 months ago

Okay, let me see. I know the reimbursement approach is based on a structured schedule, while the service approach is more flexible. I'm leaning towards option B, but I'll double-check to make sure.

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India

5 months ago

Hmm, this is a tricky one. I'm not entirely sure about the differences between the two approaches. I'll need to think it through carefully and review my notes before selecting an answer.

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Meghan

6 months ago

I'm pretty confident about this one. The key is to focus on the differences between the reimbursement and service approaches. I think option B is the correct answer.

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Trina

6 months ago

Hmm, this seems like a tricky one. I'll need to think carefully about what can and can't be changed once an exclusion is saved.

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Artie

6 months ago

I'm pretty sure the answer is D. The "du" command is used to display the amount of disk space used by files and directories.

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Stephaine

6 months ago

Hmm, I'm not totally sure about the differences between these terms. I'll have to think this through carefully and try to eliminate the options that don't fit.

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Shawnda

6 months ago

Okay, I think I've got this. Since Wallace owned 40% of the company and it's not an S corp, the redemption should be treated as a long-term capital gain. The key is calculating the correct gain amount.

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Lavera

2 years ago

Actually, I believe D) Most current health plan prescription drug plans are service plans is the correct option.

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Cora

2 years ago

I feel like C) Most major medical plans follow a service approach makes more sense.

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Phuong

2 years ago

I disagree, I believe it is B) Payments under the reimbursement approach are typically based on a structured reimbursement schedule rather than on usual, customary, and reasonable (UCR) charges.

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Kimbery

2 years ago

I think the correct statement is A) Payments under the reimbursement method typically are not subject to any copayment or deductible requirements.

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Youlanda

2 years ago

Actually, I think the correct answer is D, most current health plan prescription drug plans are service plans.

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Chuck

2 years ago

I remember learning that the answer is C, most major medical plans follow a service approach.

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Tegan

2 years ago

I disagree, I believe the answer is A, payments under the reimbursement method are not subject to copayment.

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Eura

2 years ago

I think the answer is B, payments under the reimbursement approach are based on a structured schedule.

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