AHIP Exam AHM-520 Topic 3 Question 110 Discussion

Actual exam question for AHIP's AHM-520 exam

Question #: 110
Topic #: 3

Health plans seeking to provide comprehensive healthcare plans must contract with a variety of providers for ancillary services. One characteristic of ancillary services is that

APhysician behavior typically does not impact the utilization rates for these services

BPackage pricing is the preferred reimbursement method for ancillary service providers

CThese services include physical therapy, behavior therapy, and home healthcare, but not diagnostic services such as laboratory tests

DFew plan members seek these services without first being referred to the ancillary provider by a physician

Show Suggested Answer

Suggested Answer: D

by Rozella at Apr 06, 2025, 06:42 PM

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Dwight

1 months ago

I'm going with C, though I have to admit, the term 'ancillary' always makes me think of those little packets of condiments you get at fast food places. Anyone else?

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Cassie

1 months ago

This is a tricky one, but I think A is the right answer. Physicians can't really control how much their patients use ancillary services, can they? That would be like trying to stop a sneeze.

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Joseph

5 days ago

I'm not sure, but I think B could also be a possibility. Package pricing might be the preferred method of reimbursement for ancillary service providers.

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Terina

10 days ago

I disagree, I believe D is the right answer. Most plan members need a referral from a physician to seek ancillary services.

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Katie

14 days ago

I think A is correct. Physicians don't have much control over how much patients use ancillary services.

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Owen

1 months ago

D is the way to go. You know nobody's going to seek out a physical therapist or home health aide without their doctor telling them to. That's just how the system works.

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Pearly

18 hours ago

I agree, it's important for the healthcare system to have that kind of structure in place.

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Cathrine

17 days ago

Yeah, it makes sense that most plan members would need a referral from their doctor.

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Deeanna

25 days ago

D is definitely the most common way for people to access ancillary services.

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Christene

2 months ago

I'm going with B here. Ancillary providers definitely prefer package pricing - it's easier for them to manage their revenue that way.

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Joni

9 days ago

I think plan members usually seek these services after being referred by a physician.

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Wendell

1 months ago

Physician behavior typically does not impact the utilization rates for these services.

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Gabriele

1 months ago

I agree, package pricing does make it easier for ancillary providers to manage their revenue.

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Ryan

2 months ago

Option C definitely seems the most accurate. I mean, physical therapy and home healthcare are clearly ancillary services, but diagnostic tests like lab work? That's just common sense.

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