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AHM-540 Dumps With Exact Questions and Answers

Exact2pass Provides 100% Valid Medical Management AHM-540 Exam dumps Questions and answers which can helps you to Pass Your Certification Exam in First Attempt.

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AHM-540 Questions and Answers

Question # 1

One of the steps in drug utilization review (DUR) is defining optimal drug use, which can be accomplished by applying diagnosis criteria and drug-specific criteria. Drug-specific criteria are standards that identify the

A.

appropriate dosages, duration of treatment, and other elements related to the use of a particular drug

B.

actual prescribing and dispensing patterns for a particular drug

C.

types of diseases, conditions, or patients for which a drug should be used

D.

cost-effectiveness of all possible drug treatments for a particular condition

Question # 2

Determine whether the following statement is true or false:

Participation in disease management programs is currently voluntary.

A.

True

B.

False

Question # 3

A health plan’s coverage policies are linked to its purchaser contracts. The following statement(s) can correctly be made about the purchaser contract and coverage decisions:

1. In case of conflict between the purchaser contract and a health plan’s medical policy or benefits administration policy, the contract takes precedence

2. Purchaser contracts commonly exclude custodial care from their coverage of services and supplies

3. All of the criteria for coverage decisions must be included in the purchaser contract

A.

All of the above

B.

1 and 2 only

C.

2 only

D.

3 only

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