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AHIP
Exam Code AHM-250
Exam Name Healthcare Management An
Introduction Exam
Free Download AHIP AHM-250 Exam Dumps
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What Is AHM-250 Exam
This course will take you to the speed of basic
concepts of healthcare management and its various
types of organizational structures. You will
learn about the main operational areas of health
insurance plans, as well as about legislative,
Regulatory and ethical issues that affect the
industry.
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About AHM-250 Exam
This course is provided by the Academy of Health
Care Administration (AHM). Sponsored by the US
Health Insurance Plans and the Blue Cross Blue
Shield Association, AHM relies on decades of
experience from both associations that provide
continuing education to health insurance plan
professionals. AHM serves more than 1,300 health
insurance plans that care for and provide
coverage to more than 200 million people.
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How Can Pass AHIP AHM-250 Exam
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Question No 1
If a state commissioner of insurance places an
HMO under dministrative supervision, then the
purpose of this action most likely is to A.
Transfer all of the HMO's business to other
carriers. B. Allow the state commissioner, acting
for a state court, to take control of and
administer the HMO's assets and liabilities. C.
Sell the HMO's assets in order to satisfy the
HMO's obligations. D. Place the HMO's operations
under the direction and control of the state
commissioner or a person appointed by the
commissioner. Answer D
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Question No 2
Bart Vereen is insured by both a traditional
indemnity health insurance plan, which is his
primary plan, and a managed care plan. Both plans
have a typical coordination of benefits (COB)
provision, but neither plan has a no duplication
of benefits provision A. 380 B. 130 C. 0 D.
550 Answer A
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Question No 3
One true statement about community rating, a
rating method commonly used by health plans, is
that A. It requires a health plan to set
premiums for financing medical care according to
the health plan's expected cost of providing
medical benefits to a sub-group within the
community. B. A health plan usually uses
community rating to set premiums for large
groups. C. It tends to lead to greater
fluctuations in premium rates than do other
rating methods. D. A health plan seldom uses
community rating to set premiums for large
groups. Answer D
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Question No 4
One true statement regarding ethics and laws is
that the values of a community are reflected
in A. both ethics and laws, and both ethics and
laws are enforceable in the court system B. both
ethics and laws, but only laws are enforceable in
the court system C. ethics only, but only laws
are enforceable in the court system D. laws only,
but both ethics and laws are enforceable in the
court system Answer B
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Question No 5
In Order to act as a TPA an organization must A.
Establish written procedures for adverse
determinations and appeals B. Obtain a
certificate of authority from the state insurance
department C. Designating the organization as a
TPA D. All of the above Answer B
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