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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

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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Question 2

In the paragraph below, two statements each contain a pair of terms enclosed in parentheses. Determine which term correctly completes each statement. Then select the answer choice containing the two terms that you have chosen. For providers, (operational /

Options:

A.

operational / an acquisition

B.

operational / a consolidation

C.

structural / an acquisition

D.

structural / a consolidation

Question 3

Janet Riva is covered by a indemnity health insurance plan that specifies a $250 deductible and includes a 20% coinsurance provision. When Ms. Riva was hospitalized, she incurred $2,500 in medical expenses that were covered by her health plan. She incurred

Options:

A.

$1,750

B.

$1,800

C.

$2,000

D.

$2,250