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AHM-250 Exam Dumps : Healthcare Management: An Introduction

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Healthcare Management: An Introduction Questions and Answers

Question 1

Which of the following best describes an organization that is owned by a hospital or group of investors and provides management and administrative support services to individual physicians or small group practices?

Options:

A.

Independent Practice Association (IPA).

B.

Group Practice Without Walls (GPWW)

C.

Management Services Organization (MSO).

D.

Consolidated Medical Group.

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Question 2

The following statements are about accreditation in health plans. Select the answer choice that contains the correct statement.

Options:

A.

Accreditation is typically performed by a panel of physicians and administrators employed by the health plan under evaluation.

B.

All accrediting organizations use the same standards of accreditation.

C.

Results of accreditation evaluations are provided only to state regulatory agencies and are not made available to the general public.

D.

Accreditation demonstrates to an health plan's external customers that the plan meets established standards for quality care.

Question 3

If left unresolved, member complaints about the actions or decisions made by a health plan or its providers can lead to formal appeals. One procedure health plans can use to address formal appeals is to submit the original decision and any supporting info

Options:

A.

A Level One appeal, and the member has the right to a further appeal

B.

A Level Two appeal, and the reviewer's decision is final and binding

C.

An independent external appeal, and the member has the right to a further appeal

D.

Arbitration, and the reviewer's decision is final and binding