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AHIP AHM-540 Exam - Topic 1 Question 130 Discussion

The Midwest Health Plan delegated utilization review (UR) activities to the Tri-City Utilization Review Organization. After Tri-City improperly recommended denial of payment for services to a Midwest plan member, the plan member filed suit. The court ruled that Midwest was responsible for Tri-City's actions because of the relationship between Midwest and Tri-City. This situation is an illustration of a legal concept known as
A) vicarious liability
B) fraud
C) a tying arrangement
D) subdelegation

AHIP AHM-540 Exam - Topic 1 Question 130 Discussion

Actual exam question for AHIP's AHM-540 exam
Question #: 130
Topic #: 1
[All AHM-540 Questions]

The Midwest Health Plan delegated utilization review (UR) activities to the Tri-City Utilization Review Organization. After Tri-City improperly recommended denial of payment for services to a Midwest plan member, the plan member filed suit. The court ruled that Midwest was responsible for Tri-City's actions because of the relationship between Midwest and Tri-City. This situation is an illustration of a legal concept known as

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