AHIP Exam AHM-520 Topic 1 Question 103 Discussion

Actual exam question for AHIP's AHM-520 exam

Question #: 103
Topic #: 1

The Atoll Health Plan must comply with a number of laws that directly affect the plan's contracts. One of these laws allows Atoll's plan members to receive medical services from certain specialists without first being referred to those specialists by a primary care provider (PCP). This law, which reduces the PCP's ability to manage utilization of these specialists, is known as _________.

AA due process law

BAn any willing provider law

CA direct access law

DA fair procedure law

Show Suggested Answer

Suggested Answer: B

by Tori at Nov 17, 2024, 04:46 PM

Limited Time Offer

25%

Off

Get Premium AHM-520 Questions as Interactive Web-Based Practice Test or PDF

Contribute your Thoughts:

Submit Cancel

Annelle

8 days ago

The direct access law is the correct answer. It allows plan members to see specialists without a referral from a PCP, which can impact the PCP's ability to manage utilization. Pretty straightforward if you know your health care laws.

upvoted 0 times

...