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Exam Code: AHM-250
Exam Title: Healthcare Management: An Introduction
Vendor: AHIP
Exam Questions: 367
Last Updated: November 15th,2024

Question 1

- (Topic 2)
One factor the Sandpiper Health Plan uses to assess its quality is a clinician's bedside manner, i.e., how friendly and understanding the clinician is, whether the patient feels that the clinician listens to the patient's concerns, how well the clinical

A. a provider service quality issue
B. an administrative service quality issue a healthcare process quality issue
C. a healthcare outcomes quality issue
D. a healthcare process quality issue

Correct Answer:A

Question 2

- (Topic 1)
Arthur Moyer is covered under his employer's group health plan, which must comply with the Consolidated Omnibus Budget Reconciliation Act (COBRA). Mr. Moyer is terminating his employment. He has elected to continue his coverage under his employer's group

A. 18 months, but his coverage under COBRA will cease if he obtains group health coverage through another employer.
B. 18 months, even if he obtains group health coverage through another employer.
C. 36 months, but his coverage under COBRA will cease if he obtains group health coverage through another employer.
D. 36 months, even if he obtains group health coverage through another employer.

Correct Answer:A

Question 3

- (Topic 1)
By definition, a health plan's network refers to the

A. organizations and individuals involved in the consumption of healthcare provided by the plan
B. relative accessibility of the plan's providers to the plan's participants
C. group of physicians, hospitals, and other medical care providers with whom the plan has contracted to deliver medical services to its members
D. integration of the plan's participants with the plan's providers

Correct Answer:C

Question 4

- (Topic 1)
Dr. Samuel Aldridge's provider contract with the Badger Health Plan includes a typical due process clause. The primary purpose of this clause is to:

A. State that D
B. Aldridge's provider contract with Badger will automatically terminate if he loses his medical license or hospital privileges.
C. Specify a time period during which the party that breaches the provider contract must remedy the problem in order to avoid termination of the contract.
D. Give D
E. Aldridge the right to appeal Badger's decision if he is terminated with cause from Badger's provider network.
F. Specify that Badger can terminate this provider contract without providing a reason, but only if Badger gives D
G. Aldridge at least 90-days' notice of its intent to terminate the contract.

Correct Answer:C

Question 5

- (Topic 1)
An HMO that combines characteristics of two or more HMO models is sometimes referred to as a

A. Network model HMO
B. Group model HMO
C. Staff model HMO
D. Mixed model HMO

Correct Answer:D