AHIP Health Plan Finance and Risk Management AHM-520 Question # 91 Topic 3 Discussion
AHM-520 Exam Topic 3 Question 91 Discussion:
Question #: 91
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
A.
Physician behavior typically does not impact the utilization rates for these services
B.
Package pricing is the preferred reimbursement method for ancillary service providers
C.
These services include physical therapy, behavior therapy, and home healthcare, but not diagnostic services such as laboratory tests
D.
Few plan members seek these services without first being referred to the ancillary provider by a physician
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