AHIP AHM-530 Exam - Topic 6 Question 75 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 75
Topic #: 6

If a third party is responsible for injuries to a plan member of the Hope Health Plan, then Hope has a contractual right to file a claim for the resulting healthcare costs against the third party. This contractual right to recovery from the third party is known as

ASubrogation

BPartial capitation

CCoordination of benefits

DAremedy provision

Show Suggested Answer

Suggested Answer: A

by Reena at Oct 07, 2023, 10:27 AM

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Eladia

8 months ago

Partial capitation is totally unrelated to this situation.

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Shantay

9 months ago

Really? I didn't know they could claim against a third party like that.

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Tayna

9 months ago

Subrogation is the right term here, no doubt.

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Carin

9 months ago

I thought it was coordination of benefits?

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Skye

9 months ago

It's definitely subrogation!

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Phil

10 months ago

I’m leaning towards A too, but I’m a bit confused about the other options. Partial capitation doesn’t seem to fit here.

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Tamera

10 months ago

I feel like I’ve seen a question like this before, and subrogation definitely sounds familiar. I think that’s the right term.

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Gregoria

10 months ago

I’m not entirely sure, but I remember something about coordination of benefits. Could that be related?

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Layla

10 months ago

I think the answer is A, subrogation. We covered that in class, right? It’s when the insurer steps in to recover costs from a third party.

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Amie

10 months ago

I'm a little confused by the wording of this question. What exactly is a "remedy provision"? That's not a term I'm familiar with in this context. I'll have to read through it again more closely.

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Kip

10 months ago

Okay, I remember learning about subrogation in class. That's when the health plan can go after the third party responsible for the member's injuries to recoup the costs they paid. I think that's the right answer here.

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Harrison

10 months ago

Hmm, this one has me a bit stumped. I'm not totally sure about the difference between subrogation, coordination of benefits, and the other options. I'll have to think this through carefully.

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Mari

10 months ago

I'm pretty confident I know the answer to this one. It's definitely subrogation - that's the contractual right for the health plan to recover costs from a third party.

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Thersa

10 months ago

This is a good question to test our understanding of network security concepts. I'm pretty confident I know the right answer, but I'll double-check the options just to be sure.

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Cecilia

10 months ago

Based on my understanding of Cisco ISE and Stealthwatch, the pXGrid Controller is the node that enables the contextual information sharing. I'm confident in that answer.

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Gilma

10 months ago

I think matching the OSPF areas is crucial too; if they're in different areas, they won't form an adjacency.

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Goldie

10 months ago

I'm pretty sure we need to use N-fold cross-validation when we don't have enough data to create a separate test set. That's option B, right?

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Mirta

1 year ago

Subrogation all the way! Now, if only I could sue the exam writers for giving me a headache with these tricky questions. Where's my legal team when I need them?

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Kenny

1 year ago

C) Coordination of benefits

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Micah

1 year ago

I agree, subrogation is the way to go in these situations.

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Benton

1 year ago

A) Subrogation

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Gwenn

1 year ago

Subrogation, easy peasy. Though I have to say, 'partial capitation' sounds like something straight out of a sci-fi movie. I wonder if that's the 'remedy provision' for when the third party is an alien overlord?

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Lynsey

1 year ago

D) A remedy provision

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Carma

1 year ago

C) Coordination of benefits

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Raelene

1 year ago

B) Partial capitation

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Ciara

1 year ago

A) Subrogation

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Iola

1 year ago

Subrogation, no doubt about it. I can almost picture the lawyers fighting it out in court to recover those healthcare costs. Gotta love the legal jargon in this industry.

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Carman

1 year ago

C) Coordination of benefits

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Andra

1 year ago

Absolutely, subrogation is the contractual right to recover healthcare costs from a third party. It's a common practice in the industry.

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Rozella

1 year ago

A) Subrogation

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Donte

1 year ago

Ah, this is a tricky one. At first, I thought it might be coordination of benefits, but subrogation makes more sense in this context. I better brush up on my healthcare terminology before the exam!

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Ben

1 year ago

I'm not sure, but I think it might be C) Coordination of benefits.

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Darrel

1 year ago

I agree with Maynard. Hope Health Plan can recover costs through subrogation.

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Dortha

1 year ago

Subrogation is definitely the right answer here. I remember learning about this concept in my healthcare law class. The plan has a contractual right to recover costs from the third party responsible for the member's injuries.

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Nieves

1 year ago

Yes, it's an important concept in healthcare law to ensure the plan isn't left covering costs for injuries caused by others.

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Billye

1 year ago

I agree, subrogation is when the plan can recover costs from the third party.

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Maynard

1 year ago

I think the answer is A) Subrogation.

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