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Healthcare Management: An Introduction

Last Update 4 hours ago Total Questions : 367

The Healthcare Management: An Introduction content is now fully updated, with all current exam questions added 4 hours ago. Deciding to include AHM-250 practice exam questions in your study plan goes far beyond basic test preparation.

You'll find that our AHM-250 exam questions frequently feature detailed scenarios and practical problem-solving exercises that directly mirror industry challenges. Engaging with these AHM-250 sample sets allows you to effectively manage your time and pace yourself, giving you the ability to finish any Healthcare Management: An Introduction practice test comfortably within the allotted time.

Question # 91

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

    The Morton MCO uses an automated system that answers telephone calls with recorded or synthesized speech and prompts the caller to respond to a menu of opt

A.

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

B.

Both Morton's system and Autumn's device are applications of computer/telephony integration (CTI).

C.

Morton's system is best described as an automatic call distributor (ACD).

D.

Morton's system can be correctly characterized as an expert system.

Question # 92

The Polestar Company's sole business is the ownership of Polaris Medical Group, a health plan and subsidiary of Polestar. Some members of Polestar's board of directors hold positions with Polestar in addition to their positions on the board; the rest are professionals in academia and businesspeople who do not work for Polestar. Dr. Carolyn Porter, a university president, is on Polestar's board. From the following answer choices, select the response containing the term that correctly identifies Polestar's relationship to Polaris and the term that describes the type of board member represented by Dr. Porter

A.

Polestar's relationship to Polaris: partnership: Type of board member: operations director

B.

Polestar's relationship to Polaris: partnership: Type of board member: outside director

C.

Polestar's relationship to Polaris: holding company: Type of board member: operations director

D.

Poles tar's relationship to Polaris: holding company: Type of board member: outside director

Question # 93

The National Committee for Quality Assurance (NCQA) is a nonprofit organization that accredits health plans and other healthcare organizations. Under the current NCQA accreditation program, a health plan's accreditation score is determined, in part, by pe

A.

is a performance-measurement tool designed to help healthcare purchasers and consumers compare quality offered by different plans.

B.

divides performance measures into 8 domains, and organizes reporting measures under these domains.

C.

is updated annually and measures are changed or new measures added.

D.

all of the above

Question # 94

The existing committees at the Majestic Health Plan, a health plan that is subject to the requirements of HIPAA, include the Executive Committee and the Corporate Compliance Committee. The Executive Committee serves as a long-term advisory body on issues related to overall organizational policy. The Corporate Compliance Committee are convened to address specific management concerns. The following statement(s) can correctly be made about these committees:

A.

Majestic's Executive Committee is an example of a Specific committee.

B.

The Corporate Compliance Committee is an Example of an Adhoc company.

C.

A & B

Question # 95

The following types of CDHPs allow federal tax advantages including the ability to roll funds from one year to the next:

A.

MSAs, HRAs, HSAs

B.

FSAs, MRAs, HRAs

C.

FSAs, HRAs, HSAs

D.

FSAs, MRAs HSAs

Question # 96

Integration of provider organizations is said to occur when

A.

Previously separate providers combine & come under common ownership or control.

B.

Two or more providers combine their business operations that they previously carried out separately.

C.

Both A & B

D.

None of the above

Question # 97

The situation wherein two hospitals agree to each refuse to contract with a health plan until the health plan cease contract negotiations with a competing hospital is known as

A.

Horizontal division of markets

B.

Tying arrangements

C.

Horizontal group boycott

D.

Price fixing

Question # 98

The following statements are about concepts related to the underwriting function within a health plan. Select the answer choice containing the correct statement.

A.

Anti selection refers to the fact that individuals who believe that they have a less-than-average likelihood of loss tend to seek healthcare coverage to a greater extent than do individuals who believe that they have an average or greater-than-average like

B.

Federally qualified HMOs are required to medically underwrite all groups applying for coverage.

C.

Typically, a health plan guarantees the premium rate for a group health contract for a period of five years.

D.

When evaluating the risk for a group policy, underwriters typically focus on such factors as the size of the group, the stability of the group, and the activities of the group.

Question # 99

In order to measure the expenses of institutional utilization, Holt Health care group uses standard formula to calculate hospital bed stays per 1000 plan members. On 26 November, Holt uses the following information to:

Calculate the bed days per 1000 members for the MTD

Total gross hospital bed days in MTD = 500

Plan membership = 15000

Calculate Holt's number of bed days per 1000 members for the month to date, rounded to the nearest whole number.

A.

468

B.

365

C.

920

D.

500

Question # 100

Medicare is the federal government program established under Title XVIII of the Social Security Act of 1965 to provide hospital, medical and other covered benefits to elderly and disabled persons. Medicare is available for:

A.

Persons age 63 or older.

B.

Persons with qualifying disabilities (over the age of 63)

C.

Persons with end-stage renal disease (ESRD)

D.

Low income individuals

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