AHIP Exam AHM-540 Topic 3 Question 87 Discussion

Actual exam question for AHIP's AHM-540 exam

Question #: 87
Topic #: 3

The paragraph below contains two pairs of terms or phrases enclosed in parentheses. Determine which term or phrase in each pair correctly completes the paragraph. Then select the answer choice containing the terms or phrases that you have chosen.

Due to competitive pressures and consumer demand, many health plans now offer direct access or open access products. Under a direct access product, a member is (required / not required) to select a primary care provider (PCP), and is (required / not required) to obtain a referral from a PCP or the health plan before visiting a network specialist.

Arequired / required

Brequired / not required

Cnot required / required

Dnot required / not required

Show Suggested Answer

Suggested Answer: B

by Tomas at May 10, 2024, 11:30 AM

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Bo

1 days ago

I don't know, this question is giving me a headache. Why can't they just ask something simple like 'what's the square root of 64'? At least that I'd know for sure.

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Tawny

6 days ago

B) required / not required makes the most sense to me. Seems like a direct access product would not require a PCP selection or referral, which is what the question is describing.

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Victor

10 days ago

But wouldn't it make sense for a member to be required to select a PCP and not required to obtain a referral? So, I still think A) is the correct answer.

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Joanna

11 days ago

I disagree, I believe the answer is B) required / not required.

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Victor

12 days ago

I think the answer is A) required / required.

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Erin

13 days ago

But wouldn't it make sense for a member to be required to select a PCP and not required to obtain a referral? That's why I think A) is the correct answer.

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Quinn

14 days ago

I disagree, I believe the answer is B) required / not required.

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Erin

16 days ago

I think the answer is A) required / required.

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