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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

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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Question 2

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

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