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AHM-540 Exam Dumps : Medical Management

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Medical Management Questions and Answers

Question 1

Health plans arrange for the delivery of various levels of healthcare, including

1. Emergency care

2. Urgent care

3. Primary care delivered in a provider’s office

In a ranking of these levels of care according to cost, beginning with the least expensive level of care and ending with the most expensive level of care, the correct order would be

Options:

A.

1—2—3

B.

2—3—1

C.

3—1—2

D.

3—2—1

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Question 2

Comorbidity can have a significant impact on the effective implementation of disease management programs. Comorbidity can correctly be defined as the

Options:

A.

degree to which the progression of a disease or condition is understood

B.

prevalence or rate of a sickness or injury within a given population

C.

degree of severity of a particular disease or condition

D.

presence of a chronic condition or added complication other than the condition that requires medical treatment

Question 3

PBMs are accredited by the same organizations that accredit health plans.

Options:

A.

True

B.

False