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

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Avery

9 days ago

Wait, there's a 'fair procedure law' too? I thought health care was supposed to be complicated enough without a whole legal dictionary to keep track of. Maybe they should just call it the 'good luck, you're on your own' law.

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Hailey

11 days ago

I think the direct access law is the one they're looking for. Although I'm more worried about how I'm going to remember all these obscure health care regulations. Maybe I should have just become a plumber instead.

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Omer

14 days ago

C, the direct access law, is definitely the right answer. Although I'm still trying to figure out who came up with these weird law names. 'Any willing provider'? Sounds like something out of a sci-fi movie!

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Keneth

17 days ago

Hmm, I was debating between B and C, but C seems to be the winner here. Direct access laws can be a real headache for PCPs trying to keep a handle on specialty care costs.

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Annelle

25 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.

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