New Year Special Sale Limited Time 70% Discount Offer - Ends in 0d 00h 00m 00s - Coupon code: scxmas70

AHM-250 Exam Dumps - Healthcare Management: An Introduction

Go to page:
Question # 41

Patrick Flaherty's employer has contracted to receive healthcare for its employees from the Abundant Healthcare System. Mr. Flaherty visits his primary care physician (PCP), who sends him to have some blood tests. The PCP then refers Mr. Flaherty to a special

A.

an integrated delivery system (IDS)

B.

a Management Services Organization (MSO)

C.

a Physician Practice Management (PPM) company

D.

a physician-hospital organization (PHO)

Full Access
Question # 42

The following programs are typically included in TRICARE medical management efforts:

A.

Utilization management

B.

Self-care

C.

Case management

D.

A and B only

E.

A and C only

F.

All of the listed options

G.

B and C only

Full Access
Question # 43

The Employee Retirement Income Security Act (ERISA) requires health plan members who receive healthcare benefits through employee benefit plans to file legal challenges involving coverage decisions or plan administration at the federal level. Under the te

A.

contract damages, which cover the cost of denied treatment

B.

compensatory damages, which compensate the injured party for his or her injuries

C.

punitive damages, which are designed to punish or make an example of the wrongdoer

D.

all of the above

Full Access
Question # 44

One HMO model can be described as an extension of a group model HMO because it contracts with multiple group practices, rather than with a single group practice. This HMO model is known as the

A.

staff model HMO

B.

IPA model HMO

C.

direct contract model HMO

D.

network model HMO

Full Access
Question # 45

The following sentence contains an incomplete statement with two missing words. Select the answer choice that contains the words that correctly fill in the missing blanks.

At its core, consumer choice involves empowering healthcare consumers to play a __

A.

greater/lesser

B.

greater/greater

C.

lesser/greater

D.

lesser/lesser

Full Access
Question # 46

The Courtland PPO maintains computerized records that include clinical, demographic, and administrative data about individual plan members. The data in these records is available to plan providers, ancillary service departments, pharmacies, and others inv

A.

a data warehouse

B.

a decision support system

C.

an outsourcing system

D.

an electronic medical record (EMR) system

Full Access
Question # 47

Marlee Whitcomb was covered as a dependent under the group health plan provided by her father's employer. That health plan complied with the provisions of the Consolidated Omnibus Budget Reconciliation Act (COBRA) of 1986. When Ms. Whitcomb married, she c

A.

can continue her group coverage for a period not to exceed 48 months

B.

can continue her group coverage for a period not to exceed 36 months

C.

cannot continue her group coverage, but has the right to convert the group coverage to an individual health plan

D.

can continue her group coverage indefinitely

Full Access
Question # 48

One of the most influential pieces of legislation in the advancement of health plans within the United States was the Health Maintenance Organization (HMO) Act of 1973. One of the provisions of the Act was that it

A.

exempted HMOs from all state licensure requirements.

B.

required all employers that offered healthcare coverage to their employees to offer only one type of federally qualified HMO.

C.

eliminated funding that supported the planning and start-up phases of new HMOs.

D.

established a process by which HMOs could obtain federal qualification

Full Access
Go to page: