AHIP AHM-250 Exam Actual Questions

Name: Healthcare Management: An Introduction
Brand: QA4Exam
SKU: AHM-250
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The questions for AHM-250 were last updated on Sep 17, 2024.

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Question No. 1

Utilization review offers health plans a means of managing costs by managing

ACost effectiveness of healthcare services.

BCost of paying healthcare benefits.

CBoth of the above

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Correct Answer: C

Question No. 2

Which facility would best meet the need of Jack who fell on road and sprained his ankle?

AEmergency Department

BUrgent Care Centre

CHome health care

DNone of the above

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Correct Answer: B

Question No. 3

Diabetic patients with high glucose levels requiring stabilization following treatment of an acute attack would best be served in an ___________

AEmergency Department

BUrgent Care Centre

CHospice Care

DObservation Care Unit

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Correct Answer: D

Question No. 4

The following statements are about the various Health Plan Accountability Models adopted by the NAIC.

AUnder the terms of the Health Plan Network Adequacy Model Act, all health plans would be required to hold covered persons harmless against provider collections and provide continued coverage for uncompleted treatment in the event of plan insolvency

BThe Health Carrier Grievance Procedure Model Act requires all health carriers to maintain a first-level grievance review, but it does not require any second-level review

CAccording to the Health Care Professional Credentialing Verification Model Act, a health plan must select all providers who meet the plan's credentialing criteria

DThe Quality Assessment and Improvement Model Act exempts closed plans from implementing a quality improvement program.

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Correct Answer: A

Question No. 5

The scandent Health Group contracted with the Empire Corporation to provide behavioral healthcare services to.

Empire employees. As a condition of providing behavioral healthcare services, scandent required Empire to contract with scandent for basic medical services scandent's actions constituted the type of antitrust violation known as a

AHorizontal group boycott

BPrice-fixing agreement

CHorizontal division of markets

DTying arrangement

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Correct Answer: D

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