Free AHM-250 Questions for AHIP Healthcare Management: An Introduction AHM-250 Exam as PDF & Practice Test Engine
A public employer, such as a municipality or county government would be considered which of the following?
Correct Answer: D
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The following statements describe healthcare services delivered to health plan members by plan providers. Select the statement that describes a service that would most likely require utilization review and authorization.
Correct Answer: D
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The Stateside Health Plan uses the following outcomes measures to evaluate the quality of its diabetes disease management program.
Measure A: Incidence of foot ulcers among long-term diabetes patients
Measure B: Ability of long-term diabetes patients to m
Measure A: Incidence of foot ulcers among long-term diabetes patients
Measure B: Ability of long-term diabetes patients to m
Correct Answer: C
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PBM plans operate under several types of contractual arrangements. Under one contractual arrangement, the PBM plan and the employer agree on a target cost per employee per month. If the actual cost per employee per month is greater than the target cost, t
Correct Answer: B
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What are the characteristics that the underwriter has to consider while determining the premium rate for health insurance coverage for a group?
Correct Answer: B
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An exclusive provider organization (EPO) operates much like a PPO. However, one difference between an EPO and a PPO is that an EPO
Correct Answer: A
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Medicare is the federal government program established under Title XVIII of the Social Security Act of 1965 to provide hospital, medical and other covered benefits to elderly and disabled persons. Medicare is available for:
Correct Answer: A
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Specialty services that have certain characteristics generally are good candidates for managed care approaches. These characteristics generally include that the specialty service should have
Correct Answer: C
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As part of its utilization management (UM) system, the Creole Health Plan uses a process known as case management. The following individuals are members of the Creole Health Plan:
- Jill Novacek, who has a chronic respiratory condition.
- Abraham Rashad.
- Jill Novacek, who has a chronic respiratory condition.
- Abraham Rashad.
Correct Answer: D
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Which of the following statements about Family and Medical Leave Act (FMLA) is WRONG?
Correct Answer: C
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In addition to the credentialing activities that an health plan performs when initially accepting a provider into its network, the health plan must also perform recredentialing of the same providers on an ongoing basis. Many of the same activities are per
Correct Answer: B
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