AHIP Healthcare Management: An Introduction - AHM-250 模擬練習
Calculate the hospital bed days per 1000 members for the Month to date (MTD) on 25 April, with plan membership of 25,000 and total gross hospital bed days in MTD is 300 for an XYZ Health plan?
正解: B
The Mirror Health Plan uses a form of computer/telephony integration (CTI) to manage telephone calls coming into its member services department. When a member calls the plan's central telephone number, a device answers the call with a recorded message and
正解: C
The following statements describe violations of antitrust legislation:
Situation A - Two health plans in a single service area divided purchasers into two groups and agreed to each market their products to only one purchaser group. Situation B - A spec
Situation A - Two health plans in a single service area divided purchasers into two groups and agreed to each market their products to only one purchaser group. Situation B - A spec
正解: B
Phillip Tsai is insured by both a indemnity health insurance plan, which is his primary plan, and a health plan, which is his secondary plan. Both plans have typical coordination of benefits (COB) provisions, but neither has a nonduplication of benefits p
正解: B
From the following answer choices, choose the description of the ethical principle that best corresponds to the term Beneficence
正解: C
The process that Mr. Sybex used to identify and classify the risk represented by the Koster Group so that Intuitive can charge premiums that are adequate to cover its expected costs is known as
正解: A
The following organizations are the primary sources of accreditation of healthcare organizations:
正解: C
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.
正解: B
Because many patients with behavioral health disorders do not require round-the-clock nursing care and supervision, behavioral healthcare services can be delivered effectively in a variety of settings. For example, post-acute care for behavioral health di
正解: D
A differences between managed indemnity & traditional indemnity
正解: B
As part of its quality management program, the Lyric Health Plan regularly compares its practices and services with those of its most successful competitor. When Lyric concludes that its competitor's practices or services are better than its own, Lyric im
正解: A
PBM plans operate under several types of contractual arrangements. Under one contractual arrangement, the PBM plan and the employer agree on a target cost per employee per month. If the actual cost per employee per month is greater than the target cost, t
正解: C
Historically most HMOs have been
正解: C