Free AHM-250 Exam Dumps

Question 91

- (Topic 2)
One characteristic of disease management programs is that they typically

A. focus on individual episodes of medical care rather than on the comprehensive care of the patient over time
B. are used to coordinate the care of members with any type of disease, either chronic or nonchronic
C. focus on managing populations of patients who have a specific chronic illness or medical condition, but do not focus on patient populations who are at risk of developing such an illness or condition
D. use clinical practice processes to standardize the implementation of best practices among providers

Correct Answer:D

Question 92

- (Topic 3)
The Military Health System of the Department of Defense offers ongoing healthcare coverage to military personnel and their families through the

A. Health Care Quality Improvement Program (HCQIP)
B. Health Plan Management System (HPMS)
C. TRICARE healthcare system
D. Health Care Prepayment Plan (HCPP)

Correct Answer:C

Question 93

- (Topic 1)
From the following choices, choose the definition that best matches the term health risk assessment (HRA)

A. A technique used to educate plan members on how to distinguish between minor problems and serious conditions and effectively treat minor problems themselves
B. A technique used to determine if a health condition is present even if a member has not experienced symptoms of the problem
C. A technique in which information about a plan member's health status, personal and family health history, and health-related behaviors is used to predict the member's likelihood of experiencing specific illnesses or injuries
D. A technique used to evaluate the medical necessity, appropriateness, and cost- effectiveness of healthcare services for a given patient

Correct Answer:C

Question 94

- (Topic 1)
Greentree Medical, a health plan, is currently recruiting PCPs in preparation for its expansion into a new service area. Abigail Davis, a recruiter for Greentree, has been meeting with Melissa Cortelyou, M.D., in an effort to recruit her as a PCP in Green

A. Greentree is prevented by law from offering a contract to D
B. Cortelyou until the credentialing process is complete
C. any contract signed by D
D. Cortelyou should include a clause requiring the successful completion of the credentialing process within a defined time frame in order for the contract to be effective
E. Greentree must offer a standard contract to D
F. Cortelyou, without regard to the outcome of the credentialing process
G. Greentree will abandon the credentialing process now that D
H. Cortelyou has agreed to participate in Greentree's network

Correct Answer:B

Question 95

- (Topic 3)
The following statements are about preferred provider organizations (PPOs). Select the answer choice that contains the correct statement.

A. PPOs generally assume full financial risk for arranging medical services for their members.
B. PPOs generally pay a larger portion of a member's medical expenses when that member uses in-network providers than when the member uses out-of-network providers.
C. PPO networks may include primary care physicians and hospitals, but generally do not include specialists.
D. In a PPO, the most common method used to reimburse physicians is capitation.

Correct Answer:B