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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

Natalie Chan is a member of the Ultra Health Plan, a health plan. Whenever she needs nonemergency medical care, she sees Dr. David Craig, an internist. Ms. Chan cannot self-refer to a specialist, so she saw Dr. Craig when she experienced headaches. Dr. Cr

Options:

A.

Within Ultra's system, Ms. Chan received primary care from both Dr. Craig and Dr. Lee

B.

Ultra's system allows its members open access to all of Ultra's participating providers.

C.

Within Ultra's system, Dr. Craig serves as a coordinator of care or gatekeeper for the medical services that Ms. Chan receives.

D.

Ultra's network of providers includes Dr. Craig and Dr. Lee but not Arrow Hospital

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Question 2

Wellborne HMO provides health-related information to its plan members through an Internet Web site. Laura Knight, a Wellborne plan member, visited Wellborne's Web site to gather uptodate information about the risks and benefits of various treatment option

Options:

A.

shared decision making

B.

self-care

C.

preventive care

D.

triage

Question 3

Certificate of Authority (COA) is subject to:

Options:

A.

Contract between health plan and employer

B.

State laws require an HMO not to be organized as a corporation

C.

Compliance with CMS

D.

an HMO may have to be licensed as an HMO or insurance company in each state in which it conducts business

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