AHIP Exam AHM-530 Topic 4 Question 27 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 27
Topic #: 4

The provider contract that Dr. Nick Mancini has with the Utopia Health Plan includes a clause that requires Utopia to reimburse Dr. Mancini on a fee-for-service (FFS) basis until 100 Utopia members have selected him as their primary care provider (PCP). At that time, Utopia will begin reimbursing him under a capitated arrangement. This clause in Dr. Mancini's provider contract is known as:

Aan antidisparagement clause

Ba low-enrollment guarantee clause

Ca retroactive enrollment changes clause

Dan eligibility guarantee clause

Show Suggested Answer

Suggested Answer: B

by Kaitlyn at May 09, 2022, 04:16 PM

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