Examsberg Free AHM-510 Braindumps

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Certification AHIP

• Exam Code AHM-510

Exam Name Governance and Regulation Exam
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About AHIP AHM-510 Exam?
This course describes the training, types, and
structure of health management organizations.
Along with the role of healthcare administration
in government-sponsored programs, including
Medicare and Medicaid, you will learn the overall
purpose and direction of healthcare management,
the impact of fraud and abuse, and the role of
public policy. In addition, the course considers
legal issues related to ERISA, pharmacy benefits,
and wellness programs.
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Sample Questions
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Question No 1
One provision of the Mental Health Parity Act of
1996 (MHPA) is that the MHPA prohibits group
health plans from A. Setting a cap for a group
member's lifetime medical health benefits that is
higher than the cap for the member's lifetime
mental health benefits B. Imposing limits on the
number of days or visits for mental health
treatment C. Charging deductibles for mental
health benefits that are higher than the
deductibles for medical benefits D. Imposing
annual limits on the number of outpatient visits
and inpatient hospital stays for mental health
services Answer A
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Question No 2
Nightingale Health Systems, a health plan,
operates in a state that requires health plans to
allow enrollees to visit obstetricians and
gynecologists without a referral from a primary
care provider. This information indicates that
Nightingale must comply with a type of mandate
known as a A. Direct access law B.
Scope-of-practice law C. Provider contracting
mandate D. Physician incentive law Answer A
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Question No 3
Sound Care Health Services, a health plan,
recently conducted a situation analysis. One step
in this analysis required Sound Care to examine
its current activities, its strengths and
weaknesses, and its ability to respond to
potential threats and opportunities in the
environment. This activity provided Sound Care
with a realistic appraisal of its capabilities.
One weakness that Sound Care identified during
this process was that it lacked an effective
program for preventing and detecting violations
of law. Sound Care decided to remedy this
weakness by using the 1991 Federal Sentencing
Guidelines for Organizations as a model for its
compliance program. With respect to the Federal
Sentencing Guidelines, actions that Sound Care
should take in developing its compliance program
include A. Creating a system through which
employees and other agents can report suspected
misconduct without fear of retribution B. Holding
management accountable for the misconduct of
their subordinates C. Assigning a high-level
member of management to the position of
compliance coordinator or administrator D. All of
the above Answer D
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Question No 4
One example of health plan's influence on the
practice of medicine is that, during the past
decade, the focus of healthcare has moved toward
_________________, which is designed to reduce
the overall need for healthcare services by
providing patients with decision-making
information. A. Demand management B. Managed
competition C. Comprehensive coverage D. Private
inurement Answer A
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Question No 5
TRICARE, a military healthcare program, offers
eligible beneficiaries three options for
healthcare services TRICARE Prime, TRICARE
Extra, and TRICARE Standard. With respect to plan
features, both an annual deductible and claims
filing requirements must be met, regardless of
whether care is delivered by network providers,
under A. TRICARE Prime and TRICARE Extra only B.
TRICARE Extra and TRICARE Standard only C.
TRICARE Standard only D. None of these healthcare
options Answer C
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