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AHIP AHM-250 Exam With Confidence Using Practice Dumps

Exam Code:
AHM-250
Exam Name:
Healthcare Management: An Introduction
Certification:
Vendor:
Questions:
367
Last Updated:
Dec 21, 2024
Exam Status:
Stable
AHIP AHM-250

AHM-250: AHIP Certification Exam 2024 Study Guide Pdf and Test Engine

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Healthcare Management: An Introduction Questions and Answers

Question 1

Which of the following best describes an organization that is owned by a hospital or group of investors and provides management and administrative support services to individual physicians or small group practices?

Options:

A.

Independent Practice Association (IPA).

B.

Group Practice Without Walls (GPWW)

C.

Management Services Organization (MSO).

D.

Consolidated Medical Group.

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Question 2

Health plans require utilization review for all services administered by its participating physicians.

Options:

A.

True

B.

False

Question 3

In health plan terminology, demand management, as used by health plans, can best be described as

Options:

A.

an evaluation of the medical necessity, efficiency, and/or appropriateness of healthcare services and treatment plans for a given patient

B.

a series of strategies designed to reduce plan members' needs to utilize healthcare services by encouraging preventive care, wellness, member self-care, and appropriate use of healthcare services

C.

a technique that prevents a provider who is being reimbursed under a fee schedule arrangement from billing a plan member for any fees that exceed the maximum fee reimbursed by the plan

D.

a system of identifying plan members with special healthcare needs, developing a healthcare strategy to meet those needs, and coordinating and monitoring the care