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AHIP AHM-530 Exam - Topic 6 Question 75 Discussion

Actual exam question for AHIP's AHM-530 exam
Question #: 75
Topic #: 6
[All AHM-530 Questions]

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

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Suggested Answer: A

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

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Eladia
4 months ago
Partial capitation is totally unrelated to this situation.
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Shantay
4 months ago
Really? I didn't know they could claim against a third party like that.
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Tayna
4 months ago
Subrogation is the right term here, no doubt.
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Carin
5 months ago
I thought it was coordination of benefits?
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Skye
5 months ago
It's definitely subrogation!
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Phil
5 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
5 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
5 months ago
I’m not entirely sure, but I remember something about coordination of benefits. Could that be related?
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Layla
5 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
5 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
5 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
6 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
6 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
6 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
6 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
6 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
6 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
10 months 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
9 months ago
C) Coordination of benefits
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Micah
9 months ago
I agree, subrogation is the way to go in these situations.
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Benton
9 months ago
A) Subrogation
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Gwenn
10 months 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
10 months ago
D) A remedy provision
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Carma
10 months ago
C) Coordination of benefits
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Raelene
10 months ago
B) Partial capitation
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Ciara
10 months ago
A) Subrogation
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Iola
11 months 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
10 months ago
C) Coordination of benefits
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Andra
10 months 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
10 months ago
A) Subrogation
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Donte
11 months 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
11 months ago
I'm not sure, but I think it might be C) Coordination of benefits.
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Darrel
11 months ago
I agree with Maynard. Hope Health Plan can recover costs through subrogation.
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Dortha
11 months 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
11 months 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
11 months ago
I agree, subrogation is when the plan can recover costs from the third party.
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Maynard
11 months ago
I think the answer is A) Subrogation.
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