Free AHM-250 Exam Dumps

Question 71

- (Topic 1)
In large health plans, management functions such as provider recruiting, credentialing, contracting, provider service, and performance management for providers are typically the responsibility of the

A. chief executive officer (CEO)
B. network management director
C. board of directors
D. director of operations

Correct Answer:B

Question 72

- (Topic 2)
One true statement regarding ethics and laws is that the values of a community are reflected in

A. both ethics and laws, and both ethics and laws are enforceable in the court system
B. both ethics and laws, but only laws are enforceable in the court system
C. ethics only, but only laws are enforceable in the court system
D. laws only, but both ethics and laws are enforceable in the court system

Correct Answer:B

Question 73

- (Topic 2)
Members who qualify to participate in a health plan's case management program are typically assigned a case manager. During the course of the member's treatment, the case manager is responsible for

A. Coordinating and monitoring the member's care
B. Approve
C. Both A and B
D. A only
E. B only
F. Neither A nor B

Correct Answer:B

Question 74

- (Topic 1)
A public employer, such as a municipality or county government would be considered which of the following?

A. Employer-employee group
B. Multiple-employer group
C. Affinity group
D. Debtor-creditor group

Correct Answer:A

Question 75

- (Topic 3)
High deductible health plans (HDHP) are characterized by all of the following features except

A. A HDHPs have a higher deductible than other traditional insurance products such as HMOs & PPOs.
B. HDHPs generally cost more than traditional heathcare coverage.
C. Some HDHPs cover preventive care on a first-dollar coverage basis.
D. All of the above

Correct Answer:A

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