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AHIP Certification AHM-250 Syllabus Exam Questions Answers

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Total 367 questions

Healthcare Management: An Introduction Questions and Answers

Question 29

PBM plans operate under several types of contractual arrangements. Under one contractual arrangement, the PBM plan and the employer agree on a target cost per employee per month. If the actual cost per employee per month is greater than the target cost, t

Options:

A.

fee-for-service arrangement

B.

risk sharing contract

C.

capitation contract

D.

rebate contract

Question 30

The following sentence contains an incomplete statement with two missing words. Select the answer choice that contains the words that correctly fill the two blanks, respectively. The philosophy of consumer choice involves having consumers play a(n) ______

Options:

A.

Decreased … Increased

B.

Increased … Decreased

C.

Increased … Increased

D.

Decreased … Decreased

Question 31

Members who qualify to participate in a health plan's case management program are typically assigned a case manager. During the course of the member's treatment, the case manager is responsible for

Options:

A.

Coordinating and monitoring the member's care

B.

Approve

C.

Both A and B

D.

A only

E.

B only

F.

Neither A nor B

Question 32

Phoebe Urich is covered by a traditional indemnity health insurance plan that specifies a $500 calendar-year deductible and includes a 20% coinsurance provision. When Ms. Urich was hospitalized, she incurred $3,000 in medical expenses that were covered by

Options:

A.

1900

B.

2000

C.

2400

D.

2500

Page: 8 / 14
Total 367 questions