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AHM-250 Exam Dumps - Healthcare Management: An Introduction

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Question # 9

Which of the following is WRONG?

A.

Computer Based Patient Records Institute (CPRI) developed the standards for digital imaging of xrays.

B.

HL7 developers focuses on interchange of Clinical Health Data

C.

ANSI, a voluntary national standards organization, creates a consensus based process by which fair and equitable standards can be developed and serves as a legitmizer of standards.

D.

American Health Information Management Association focuses on EDI standards for exchange of clinical data

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Question # 10

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

A.

An indemnity wraparound plan

B.

A self-funded plan

C.

An aggregate stop-loss plan

D.

A fully funded plan

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Question # 11

The following statements are about the accessibility of healthcare coverage and medical care in the United States. Select the answer choice that contains the correct statement.

A.

A person’s employment status as a full-time employee guarantees that person access to healthcare coverage.

B.

Most people who have healthcare coverage are covered under an individual insurance policy rather than a group insurance plan.

C.

The percentage of the population without healthcare coverage is evenly distributed throughout the United States.

D.

Hospital closings have occurred disproportionately in rural areas and inner cities and have reduced access to healthcare in these areas.

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Question # 12

Consolidation of patient information in a single location as can be used by independent providers is an example of

A.

Structural Integration

B.

Operational Integration

C.

Business Integration

D.

None of the above

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Question # 13

Keith Murray is a 45 year old chartered accountant & is employed in Livingstone consultancy firm. He has been paying payroll taxes for the past 15 years. Which of the following statements is true regarding Medicare Part A entitlement?

A.

Keith shall be entitled to Part A benefits when he attains 65 years of age

B.

Keith’s wife shall be entitled to Part A benefits when she attains 65 years of age

C.

Keith’s wife shall be required to pay a monthly premium in order to receive Medicare Part A benefits

D.

Both a & b

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Question # 14

What is a mathematical process that involves using a number of hypothetical situations that, in total, will reasonably reflect an event that will occur in real life

A.

Forecasting

B.

Modelling

C.

Both a and b

D.

None of the above

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Question # 15

The Helm MCO segmented the non-group market for its new healthcare product by using factors such as education level, gender, and household composition. The Amberly MCO segmented the non-group market for its products based on the approaches by which it sol

A.

demographic product or benefit

B.

geographic distribution channel

C.

demographic distribution channel

D.

geographic product or benefit

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Question # 16

Each time a patient visits a provider he has to pay a fixed dollar amount?

A.

Deductible

B.

Copayment

C.

Capitation

D.

Co-insurance

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