Free AHM-250 Exam Dumps

Question 31

- (Topic 3)
Which of the following is(are) CORRECT?
(A) Staff model HMOs can achieve maximum economies of scale but are heavily capital intensive.
(B) Staff model HMOs are closed panel.
(C) Staff model HMOs operate out of ambulatory care facilities.

A. A & B
B. None of the listed options
C. B & C
D. All of the listed options

Correct Answer:D

Question 32

- (Topic 2)
Medicare Advantage product options include:

A. Coordinated care plans, medical savings accounts and national PPOs.
B. Private Fee for Service plans, health care prepayment plans and medical savings accounts
C. Coordinated care plans, regional PPOs and private fee for service plans
D. Cost contracts, coordinated care programs and medical savings accounts.

Correct Answer:C

Question 33

- (Topic 3)
Which of the following statements is FALSE?

A. The license that HMOs get in each state is called ‘Certificate of Authority’
B. The HMO contracts directly with the individual physicians who provide the medical services to the HMO members in a variation of the IPA model called direct contract model HMO.
C. All medicare/mediclaim beneficiaries should comply with utilization management requirements set forth by HCFA
D. HMO’s usually impose high coinsurance or deductible requirements

Correct Answer:D

Question 34

- (Topic 3)
Diabetic patients with high glucose levels requiring stabilization following treatment of an acute attack would best be served in an

A. Emergency Department
B. Urgent Care Centre
C. Hospice Care
D. Observation Care Unit

Correct Answer:D

Question 35

- (Topic 3)
The Robust Health Plan sometimes uses prospective experience rating to calculate the premiums for a group. Under prospective experience rating, Robust most likely will:

A. At the end of a rating period, the financial gains and losses experienced by the group during that rating period and, if the group's experience during the period is better than expected, refund part of the group's premium in the form of an experience ratio
B. Use Robust's average experience with all groups to calculate this particular group's premium.
C. Use the group's past experience to estimate the group's expected experience for the next period.
D. All of the above

Correct Answer:C