Trusted Worldwide Questions & Answers
Most Recent AHIP AHM-530 Exam Dumps
Prepare for the AHIP Network Management 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-530 exam and achieve success.
The questions for AHM-530 were last updated on Apr 2, 2025.
- Viewing page 1 out of 40 pages.
- Viewing questions 1-5 out of 202 questions
There are several approaches to providing Medicaid health plan. One such approach involves the use of organizations who contract with the state's Medicaid agency to provide primary care as well as administrative services. These organizations are known as
The Argyle Health Plan has contracted to obtain the services of the providers in the Column Medical Group, a faculty practice plan (FPP). The following statement(s) can correctly be made about this contract:
One important aspect of network management is profiling, or provider profiling. Profiling is most often used to
The Aegean Health Plan delegated its utilization management (UM) program to the Silhouette IP
Federal laws---including the Ethics in Patient Referrals Act, the Health Maintenance Organization (HMO) Act of 1973, the Employee Retirement Income Security Act (ERISA), and the Federal Trade Commission Act---have impacted the ways that health plans conduct business. For instance, the Mosaic Health Plan must comply with the following federal laws in order to operate:
Regulation 1: Mosaic must establish a mandated grievance resolution mechanism, including a method for members to address grievances with network providers.
Regulation 2: Mosaic must not allow its providers to refer Medicare and Medicaid patients to entities in which they have a financial or ownership interest.
From the answer choices below, select the response that correctly identifies the federal legislation on which Regulation 1 and Regulation 2 are based.
Unlock All Questions for AHIP AHM-530 Exam
Full Exam Access, Actual Exam Questions, Validated Answers, Anytime Anywhere, No Download Limits, No Practice Limits
Get All 202 Questions & Answers