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AHIP AHM-540 Exam With Confidence Using Practice Dumps

Exam Code:
AHM-540
Exam Name:
Medical Management
Certification:
Vendor:
Questions:
163
Last Updated:
Sep 15, 2025
Exam Status:
Stable
AHIP AHM-540

AHM-540: AHIP Certification Exam 2025 Study Guide Pdf and Test Engine

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Related AHIP Exams

Medical Management Questions and Answers

Question 1

The paragraph below contains two pairs of terms in parentheses. Determine which term in each pair correctly completes the paragraph. Then select the answer choice containing the two terms that you have chosen.

Health plans use both internal and external standards to assess the quality of the services that they provide. (Internal / External) standards are based on information such as published industry-wide averages or best practices of recognized industry leaders. Health plans primarily rely on (internal / external) standards to evaluate healthcare services.

Options:

A.

Internal / internal

B.

Internal / external

C.

External / internal

D.

External / external

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Question 2

To see that utilization guidelines are consistently applied, UR programs rely on authorization systems. Determine whether the following statement about authorization systems is true or false:

Only physicians can make nonauthorization decisions based on medical necessity.

Options:

A.

True

B.

False

Question 3

In order to be effective, a clinical pathway must improve quality and decrease costs.

Options:

A.

True

B.

False