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AHM-250 Exam Dumps : Healthcare Management: An Introduction

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Healthcare Management: An Introduction Questions and Answers

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Question 1

The National Association of Insurance Commissioners' (NAIC's) Unfair Claims Settlement Practices Act specifies standards for the investigation and handling of claims. The Act defines unfair claims practices and notes that such practices are improper if the

Options:

A.

Both A and B

B.

A only

C.

B only

D.

Neither A nor B

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Question 2

Amendments to the HMO act 1973 do not permit federally qualified HMO’s to use

Options:

A.

Retrospective experience rating

B.

Adjusted community rating

C.

Community rating by class

D.

Community rating

Question 3

An HMO’s quality assurance program must include

Options:

A.

A statement of the HMO’s goals and objectives for evaluating and improving enrollees’ health status

B.

Documentation of all quality assurance activities

C.

System for periodically reporting program results to the HMO’s board of directors, its providers, and regulators

D.

All the above

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