AHIP Exam AHM-530 Topic 6 Question 75 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 75
Topic #: 6

If a third party is responsible for injuries to a plan member of the Hope Health Plan, then Hope has a contractual right to file a claim for the resulting healthcare costs against the third party. This contractual right to recovery from the third party is known as

ASubrogation

BPartial capitation

CCoordination of benefits

DAremedy provision

Show Suggested Answer

Suggested Answer: A

by Reena at Oct 07, 2023, 10:27 AM

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Mirta

1 months ago

Subrogation all the way! Now, if only I could sue the exam writers for giving me a headache with these tricky questions. Where's my legal team when I need them?

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Micah

I agree, subrogation is the way to go in these situations.

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Benton

9 days ago

A) Subrogation

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Gwenn

1 months ago

Subrogation, easy peasy. Though I have to say, 'partial capitation' sounds like something straight out of a sci-fi movie. I wonder if that's the 'remedy provision' for when the third party is an alien overlord?

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Lynsey

25 days ago

D) A remedy provision

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Carma

25 days ago

C) Coordination of benefits

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Raelene

30 days ago

B) Partial capitation

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Ciara

1 months ago

A) Subrogation

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Iola

2 months ago

Subrogation, no doubt about it. I can almost picture the lawyers fighting it out in court to recover those healthcare costs. Gotta love the legal jargon in this industry.

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Carman

13 days ago

C) Coordination of benefits

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Andra

14 days ago

Absolutely, subrogation is the contractual right to recover healthcare costs from a third party. It's a common practice in the industry.

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Rozella

1 months ago

A) Subrogation

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Donte

2 months ago

Ah, this is a tricky one. At first, I thought it might be coordination of benefits, but subrogation makes more sense in this context. I better brush up on my healthcare terminology before the exam!

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Ben

2 months ago

I'm not sure, but I think it might be C) Coordination of benefits.

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Darrel

2 months ago

I agree with Maynard. Hope Health Plan can recover costs through subrogation.

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Dortha

2 months ago

Subrogation is definitely the right answer here. I remember learning about this concept in my healthcare law class. The plan has a contractual right to recover costs from the third party responsible for the member's injuries.

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Nieves

1 months ago

Yes, it's an important concept in healthcare law to ensure the plan isn't left covering costs for injuries caused by others.

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Billye

2 months ago

I agree, subrogation is when the plan can recover costs from the third party.

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Maynard

2 months ago

I think the answer is A) Subrogation.

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