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AHIP AHM-530 Exam - Topic 6 Question 25 Discussion

One true statement about the responsibilities of providers under typical provider contracts is that most provider contracts:
B) hold that the responsibility of the provider to deliver services is usually subject to the provider's receipt of information regarding the eligibility of the member
A) include a clause which states that providers must maintain open communications with patients regarding appropriate treatment plans, unless the services are not covered by the member's health plan
C) contain a gag clause or a gag rule
D) include a clause that explicitly places the responsibility for medical care on the health plan rather than on the provider of medical services

AHIP AHM-530 Exam - Topic 6 Question 25 Discussion

Actual exam question for AHIP's AHM-530 exam
Question #: 25
Topic #: 6
[All AHM-530 Questions]

One true statement about the responsibilities of providers under typical provider contracts is that most provider contracts:

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Suggested Answer: B

by Lettie at May 07, 2022, 08:19 AM

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Mee
11 months ago
D is misleading; providers still hold responsibility in many cases.
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Tiffiny
11 months ago
B seems more accurate to me, eligibility is key for providers.
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Julie
11 months ago
Wait, are you serious? Gag clauses? That's shocking!
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Sherell
11 months ago
Totally agree, I've seen that in many agreements.
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Martin
11 months ago
A lot of contracts do have gag clauses, it's wild.
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Giovanna
12 months ago
This seems straightforward enough. I just need to plug the numbers into the right formula and do the math. As long as I understand the "price waterfall" concept, I should be able to arrive at the correct answer.
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Denise
12 months ago
I think I'll go with option B - using business rules. That seems like the most straightforward way to identify and eliminate duplicate cases.
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Brendan
12 months ago
Okay, let me see. The question is asking about a form of compensation not based on hours or salary, but on revenue output. That sounds like it could be commission, but I'm also wondering if it could be something like profit-sharing. I'll have to weigh the options carefully.
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Isreal
12 months ago
I vaguely recall that the number of domain names you can bind to a bucket is limited. Is it 20? That sounds familiar, but I can't remember exactly.
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Nan
12 months ago
This seems like a straightforward security question. I'll focus on the items that have the most impact on the score.
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