최신AHIP Healthcare Management: An Introduction - AHM-250무료샘플문제
문제1
The Hill Health Plan designed a set of benefits that it packaged in the form of a PPO product. Hill then established a pricing structure that allowed its product to compete in the small group market, and it developed advertising designed to inform potential
The Hill Health Plan designed a set of benefits that it packaged in the form of a PPO product. Hill then established a pricing structure that allowed its product to compete in the small group market, and it developed advertising designed to inform potential
정답: A
문제2
One HMO model can be described as an extension of a group model HMO because it
contracts with multiple group practices, rather than with a single group practice. This HMO model is known as the
One HMO model can be described as an extension of a group model HMO because it
contracts with multiple group practices, rather than with a single group practice. This HMO model is known as the
정답: D
문제3
In accounting terminology, the items of value that a company owns-such as cash, cash equivalents, and receivables-are generally known as the company's
In accounting terminology, the items of value that a company owns-such as cash, cash equivalents, and receivables-are generally known as the company's
정답: B
문제4
The administrative simplification standards described under Title II of HIPAA include privacy standards to control the use and disclosure of health information. In general, these privacy standards prohibit
The administrative simplification standards described under Title II of HIPAA include privacy standards to control the use and disclosure of health information. In general, these privacy standards prohibit
정답: D
문제5
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The following programs are part of the Alcove MCO's utilization management (UM) program:
A telephone triage program
Preventive care initiatives
A shared decision-making program
A self-care program
With regard to the UM programs, it is most likely cor
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The following programs are part of the Alcove MCO's utilization management (UM) program:
A telephone triage program
Preventive care initiatives
A shared decision-making program
A self-care program
With regard to the UM programs, it is most likely cor
정답: A
문제6
The main purpose of the Health Plan Employer Data and Information Set (HEDIS) is to provide
The main purpose of the Health Plan Employer Data and Information Set (HEDIS) is to provide
정답: C
문제7
The Mirror Health Plan uses a form of computer/telephony integration (CTI) to manage telephone calls coming into its member services department. When a member calls the plan's central telephone number, a device answers the call with a recorded message and
The Mirror Health Plan uses a form of computer/telephony integration (CTI) to manage telephone calls coming into its member services department. When a member calls the plan's central telephone number, a device answers the call with a recorded message and
정답: B
문제8
Health plans sometimes contract with independent organizations to provide specialty services, such as vision care or rehabilitation services, to plan members. Specialty services that have certain characteristics are generally good candidates for health pl
Health plans sometimes contract with independent organizations to provide specialty services, such as vision care or rehabilitation services, to plan members. Specialty services that have certain characteristics are generally good candidates for health pl
정답: A
문제9
As part of its utilization management (UM) system, the Creole Health Plan uses a process known as case management. The following individuals are members of the Creole Health Plan:
- Jill Novacek, who has a chronic respiratory condition.
- Abraham Rashad.
As part of its utilization management (UM) system, the Creole Health Plan uses a process known as case management. The following individuals are members of the Creole Health Plan:
- Jill Novacek, who has a chronic respiratory condition.
- Abraham Rashad.
정답: B
문제10
Phillip Tsai is insured by both a traditional indemnity health insurance plan, which is his primary plan, and a health plan, which is his secondary plan. Both plans have typical coordination of benefits (COB) provisions, but neither has a nonduplication of
Phillip Tsai is insured by both a traditional indemnity health insurance plan, which is his primary plan, and a health plan, which is his secondary plan. Both plans have typical coordination of benefits (COB) provisions, but neither has a nonduplication of
정답: C
문제11
The Mosaic health plan uses a typical electronic medical record (EMR) to document the medical care its members receive. One characteristic of Mosaic's EMR is that it:
The Mosaic health plan uses a typical electronic medical record (EMR) to document the medical care its members receive. One characteristic of Mosaic's EMR is that it:
정답: B