Most Recent AHIP AHM-540 Exam Questions & Answers

Prepare for the AHIP AHM Medical 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-540 exam and achieve success.

The questions for AHM-540 were last updated on Nov 24, 2024.

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Question No. 1

Occasionally, employers combine workers' compensation, group healthcare, and disability programs into an integrated product known as 24-hour coverage. One true statement about 24hour coverage is that it typically

Aincreases administrative costs

Brequires plans to maintain separate databases of patient care information

Cexempts plans from complying with state workers' compensation regulations

Dallows plans to apply disability management and return-to-work techniques to nonoccupational conditions

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Correct Answer: D

Question No. 2

The Westchester Health Plan classifies its key processes into the following categories: high-risk, high-volume, problem-prone, and high-cost. Westchester also prioritizes the categories in terms of importance. The process category that Westchester most likely ranks highest in importance is

AHigh-risk processes

BHigh-volume processes

CProblem-prone processes

DHigh-cost processes

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Correct Answer: A

Question No. 3

Determine whether the following statement is true or false:

The key to successfully managing the quality and cost-effectiveness of healthcare services for Medicaid enrollees is to merge Medicaid recipients into existing plans.

ATrue

BFalse

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Correct Answer: B

Question No. 4

Drugs included in a health plan's formulary can be classified according to how freely they can be prescribed. By definition, a drug that requires some sort of review or approval by a plan physician or group of physicians before the prescription can be filled is

Aan unrestricted drug

Ba monitored drug

Ca restricted drug

Da conditional drug

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Correct Answer: B

Question No. 5

One difference between outcomes research and clinical research is that outcomes research

Aprovides an absolute measure of treatment results, whereas clinical research provides a relative measure of results

Bfocuses on treatment effectiveness, whereas clinical research focuses on treatment efficacy

Cexamines diseases and treatments in isolation, whereas clinical research considers the effects of changes in health status and quality of life

Dgathers outcomes data from controlled clinical trials, whereas clinical research collects and analyzes clinical, financial, and administrative data

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Correct Answer: B

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