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AHM-540 dumps questions answers

AHIP AHM-540 Dumps

Exam Code:
AHM-540
Exam Name:
Medical Management
Last Update: May 1, 2024
163 Questions
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Medical Management Practice Questions

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Medical Management Questions and Answers

Questions 1

This agency oversees the Federal Employee Health Benefits Program (FEHBP).

Options:

A.

Health Resources and Services Administration (HRSA)

B.

Office of Personnel Management (OPM)

C.

Department of Health and Human Services (HHS)

D.

Department of Justice (DOJ)

Questions 2

One way that health plans can make their benefits more appealing to employers and employees is to offer coverage for specialty services. It is correct to say that specialty services typically

Options:

A.

involve the same types of providers and delivery systems as do standard medical services

B.

are a subset of a health plan’s standard medical-surgical services

C.

are not monitored by health plans for quality or utilization

D.

require specialized knowledge for service delivery and management

Questions 3

The following statements are about chronic and disabling conditions among children eligible for Medicaid. Three of the statements are true and one is false. Select the answer choice containing the FALSE statement.

Options:

A.

Children with chronic conditions use more physician and nonphysician professional services than do children in the general population.

B.

The majority of chronic conditions affecting children in Medicaid programs are the same as those affecting children in the general population.

C.

Medicaid-eligible children are at risk for seriousmental and physical conditions.

D.

Children in Medicaid programs have a higher incidence of chronic disabling conditions than do children in the general population.