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AHIP AHM-540 Exam - Topic 2 Question 32 Discussion

Economically, health plans cannot provide coverage for every drug available from every manufacturer. As a result, purchaser contracts often include provisions specifying that certain drugs or drug types will not be covered. These provisions are referred to as
C) exclusions
A) limitations
B) exceptions
D) drug edits

AHIP AHM-540 Exam - Topic 2 Question 32 Discussion

Actual exam question for AHIP's AHM-540 exam
Question #: 32
Topic #: 2
[All AHM-540 Questions]

Economically, health plans cannot provide coverage for every drug available from every manufacturer. As a result, purchaser contracts often include provisions specifying that certain drugs or drug types will not be covered. These provisions are referred to as

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Suggested Answer: C

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Mel
9 months ago
I thought drug edits were a thing too, but maybe not for this?
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Berry
9 months ago
Exclusions are definitely the right term here!
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Sharen
10 months ago
Wait, are you sure it’s not limitations? Sounds off.
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Erasmo
10 months ago
Totally agree, exclusions make sense for cost control.
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Germaine
10 months ago
I think they call them exclusions.
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Hillary
10 months ago
Alright, time to put my knowledge to the test. I'll carefully consider each option and select the ones I'm most certain about.
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Oretha
10 months ago
Ah, this is a good one. I know I can use DISTINCT to get the unique values, and then I just need to make sure I'm selecting the right columns. I've got this!
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Chun
10 months ago
This question reminds me of a practice question we did about verifying message integrity—it used a similar scenario and I think it's definitely Data Origin Authentication.
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