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 Jan 19, 2025.

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Question No. 1

In most cases, medical errors are caused by breakdowns in the healthcare system rather than by provider mistakes.

ATrue

BFalse

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Correct Answer: A

Question No. 2

Greentree Medical, a health plan, is currently recruiting PCPs in preparation for its expansion into a new service area. Abigail Davis, a recruiter for Greentree, has been meeting with Melissa Cortelyou, M.D., in an effort to recruit her as a PCP in Green

AGreentree is prevented by law from offering a contract to Dr. Cortelyou until the credentialing process is complete

Bany contract signed by Dr. Cortelyou should include a clause requiring the successful completion of the credentialing process within a defined time frame in order for the contract to be effective

CGreentree must offer a standard contract to Dr. Cortelyou, without regard to the outcome of the credentialing process

DGreentree will abandon the credentialing process now that Dr. Cortelyou has agreed to participate in Greentree's network

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Correct Answer: B

Question No. 3

One non-group market segment to which health plans market health plan products is the senior market, which is comprised mostly of persons over age 65 who are eligible for Medicare benefits. One factor that affects a health plan's efforts to market to the

AThe Centers for Medicare and Medicaid Services (CMS) must approve all marketing materials used by health plans to market health plan products to the Medicare population

Bmanaged Medicare plans typically require Medicare beneficiaries to purchase Medigap insurance to supplement gaps in coverage

Cmanaged Medicare plans can refuse to cover persons with certain health problems

Dthe CMS prohibits health plans from using telemarketing to market health plan products to the Medicare population

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Correct Answer: B

Question No. 4

Phoebe Urich is covered by a traditional indemnity health insurance plan that specifies a $500 calendar-year deductible and includes a 20% coinsurance provision. When Ms. Urich was hospitalized, she incurred $3,000 in medical expenses that were covered by

A1900

B2000

C2400

D2500

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Correct Answer: B

Question No. 5

The Gable MCO sometimes experience-rates small groups by underwriting a number of small groups as if they constituted one large group and then evaluating the experience of the entire large group. This practice, which allows small groups to take advantage

Aprospective experience rating

Bpooling

Cretrospective experience rating

Dpositioning

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Correct Answer: B

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