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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 act which requires each group health plan to allow employees and certain dependents to continue their group coverage for a stated period of time following a qualifying event that causes the loss of group health coverage is:

Options:

A.

ERISA

B.

COBRA

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Question 2

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

Question 3

An exclusive provider organization (EPO) operates much like a PPO. However, one difference between an EPO and a PPO is that an EPO

Options:

A.

Is regulated under federal HMO legislation

B.

Generally provides no benefits for out-of-network care

C.

Has no provider network of physicians

D.

Is not subject to state insurance laws

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