Most Recent AHIP AHM-250 Exam Questions & Answers

Prepare for the AHIP Healthcare Management: An Introduction exam with our extensive collection of questions and answers. These practice Q&A are updated according to the latest syllabus, providing you with the tools needed to review and test your knowledge.

QA4Exam focus on the latest syllabus and exam objectives, our practice Q&A are designed to help you identify key topics and solidify your understanding. By focusing on the core curriculum, These Questions & Answers helps you cover all the essential topics, ensuring you're well-prepared for every section of the exam. Each question comes with a detailed explanation, offering valuable insights and helping you to learn from your mistakes. Whether you're looking to assess your progress or dive deeper into complex topics, our updated Q&A will provide the support you need to confidently approach the AHIP AHM-250 exam and achieve success.

The questions for AHM-250 were last updated on Nov 20, 2024.

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Question No. 1

Patrick Flaherty's employer has contracted to receive healthcare for its employees from the Abundant Healthcare System. Mr. Flaherty visits his primary care physician (PCP), who sends him to have some blood tests. The PCP then refers Mr. Flaherty to a special

Aan integrated delivery system (IDS)

Ba Management Services Organization (MSO)

Ca Physician Practice Management (PPM) company

Da physician-hospital organization (PHO)

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Correct Answer: A

Question No. 2

To determine fee reimbursements to be paid to physicians, the Triangle Health Plan assigns a weighted value to each medical procedure or service and multiplies the weighted value by a money multiplier. Triangle and the providers negotiate the value of the

Adiagnosis-related group (DRG) system

Brelative value scale (RVS)

Cpartial capitation arrangement

Dcapped fee system

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Correct Answer: B

Question No. 3

Lansdale Healthcare, a health plan, offers comprehensive healthcare coverage to its members through a network of physicians, hospitals, and other service providers. Plan members who use in-network services pay a copayment for these services. The copayment

Aspecified dollar amount charge that a plan member must pay out-of-pocket for a specified medical service at the time the service is rendered

Bpercentage of the fees for medical services that a plan member must pay after Magellan has paid its share of the costs of those services

Cflat amount that a plan member must pay each year before Magellan will make any benefit payments on behalf of the plan member

Dspecified payment for services that was negotiated between the provider and Magellan

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Correct Answer: A

Question No. 4

Medigap policies were standardized into ten standard benefit pl ranging from A-J by the ____

AOmnibus Budget Reconciliation Act (OBRA) of 1990

BTax Equity & Fiscal Responsibility Act (TEFRA) of 1982

CMedicare Modernization Act (MMA) of 2003

DBalanced Budget Act (BBA) of 1997

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Correct Answer: A

Question No. 5

One true statement regarding ethics and laws is that the values of a community are reflected in

Aboth ethics and laws, and both ethics and laws are enforceable in the court system

Bboth ethics and laws, but only laws are enforceable in the court system

Cethics only, but only laws are enforceable in the court system

Dlaws only, but both ethics and laws are enforceable in the court system

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Correct Answer: B

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