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AHM-250 Exam Dumps : Healthcare Management: An Introduction

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Healthcare Management: An Introduction Questions and Answers

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Question 1

The statements below describe technology used by two health plans to respond to incoming telephone calls:

  • The Manor Health Plan uses an automated system that answers telephone calls with recorded or synthesized speech and prompts the caller to respond t

Options:

A.

Manor's system is best described as an automated call distributor (ACD).

B.

Both Manor's system and Squire's device are applications of computer/telephone integration (CTI).

C.

Squire's device is best described as an interactive voice response (IVR) system.

D.

All of these statements are correct.

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Question 2

Bill Clinton is a member of Lewinsky's PBM plan which has a three-tier copayment structure. Bill fell ill and his doctor prescribed him AAA, a brand-name drug which was included in the Lewinsky's formulary; BBB, a non-formulary drug; and CCC, a generic dr

Options:

A.

CCC, AAA, BBB

B.

BBB, CCC, AAA

C.

BBB, AAA, CCC

D.

CCC, BBB, AAA

Question 3

From the following choices, choose the definition that best matches the term Screening

Options:

A.

A technique used to educate plan members on how to distinguish between minor problems and serious conditions and effectively treat minor problems themselves

B.

A technique used to determine if a health condition is present even if a member has not experienced symptoms of the problem

C.

A technique in which information about a plan member's health status, personal and family health history, and health-related behaviors is used to predict the member's likelihood of experiencing specific illnesses or injuries

D.

A technique used to evaluate the medical necessity, appropriateness, and cost-effectiveness of healthcare services for a given patient

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