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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

A common physician-only integrated model is a group practice without walls (GPWW). One characteristic of a typical GPWW is that the

Options:

A.

GPWW combines multiple independent physician practices under one umbrella organization

B.

GPWW generally has a lesser degree of integration than does an IPA

C.

member physicians cannot own the GPWW

D.

GPWW's member physicians must perform their own business operations

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Question 2

Health plans use the following to determine the number of providers to add to a network:

Options:

A.

Staffing ratios

B.

Drive time

C.

Geographic availability

D.

All of the above

Question 3

Primary care case managers (PCCMs) provide managed healthcare services to eligible Medicaid recipients. With regard to PCCMs, it is correct to say that

Options:

A.

PCCMs contract directly with the federal government to provide case management services to Medicaid recipients

B.

all Medicaid recipients who live in rural areas must be given a choice of at least four PCCMs

C.

Medicaid PCCM programs are exempt from the Health Care Financing Administration's (HCFA's) Quality Improvement System for Managed Care (QISMC) standards

D.

PCCMs typically receive a case management fee, rather than reimbursement for medical services on a FFS basis, for the services they provide to Medicaid recipients