AHM-250 AHIP Healthcare Management: An Introduction Free Practice Exam Questions (2025 Updated)
Prepare effectively for your AHIP AHM-250 Healthcare Management: An Introduction certification with our extensive collection of free, high-quality practice questions. Each question is designed to mirror the actual exam format and objectives, complete with comprehensive answers and detailed explanations. Our materials are regularly updated for 2025, ensuring you have the most current resources to build confidence and succeed on your first attempt.
The Internal Revenue Service has ruled that an HDHP coupled with an HSA may cover certain types of preventive care without a deductible or with a lower amount than the annual deductible applicable to all other services. According to IRS guidance, which on
The following statements describe corporate transactions:
Transaction A – An MCO acquired another MCO.
Transaction B – A group of providers formed an organization to carry out billings, collections, and contracting with MCOs for the entire group of provide
The provision of mental health and chemical dependency services is collectively known as behavioral healthcare. The following statements are about behavioral healthcare. Select the answer choice containing the correct statement.
The following statements are about the underwriting function within a health plan. Select the answer choice containing the correct statement.
Bill the member for the balance of the fee above the maximum allowable amount under the fee schedule reimbursement method
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
In order to measure the expenses of institutional utilization, Holt Health care group uses standard formula to calculate hospital bed stays per 1000 plan members. On 26 November, Holt uses the following information to:
Calculate the bed days per 1000 members for the MTD
Total gross hospital bed days in MTD = 500
Plan membership = 15000
Calculate Holt's number of bed days per 1000 members for the month to date, rounded to the nearest whole number.
The parties to the contractual relationship that provides Castle's group health coverage to Knoll employees are
The main purpose of the Health Plan Employer Data and Information Set (HEDIS) is to provide
The following statements are about the make-up and function of an HMO's board of directors.
Select the answer choice that contains the correct statement.
The measures used to evaluate healthcare quality are generally divided into three categories: process, structure, and outcomes. An example of a process measure that can be used to evaluate a health plan's performance is the:
The health plan determines what it considers to be the acceptable fee for a service or procedure and the physician agrees to accept that amount as payment in full for the procedure
Specialty services that have certain characteristics generally are good candidates for managed care approaches. These characteristics generally include that the specialty service should have
One typical characteristic of an integrated delivery system (IDS) is that an IDS.
The Conquest Corporation contracts with the Apex health plan to provide basic medical and surgical services to Conquest employees. Conquest entered into a separate contract with the Bright Dental Group to provide and manage a dental care program for employee
The following programs are part of the Alcove Health Plan's utilization management (UM) program:
Preventive care initiatives
A telephone triage program
A shared decision-making program
A self-care program
With regard to the UM programs, it is most
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
One characteristic of disease management programs is that they typically
Natalie Chan is a member of the Ultra Health Plan. Whenever she needs non-emergency medical care, she sees Dr. David Craig, an internist. Ms. Chan cannot self-refer to a specialist, so she saw Dr. Craig when she experienced headaches. Dr. Craig referred h
Khalyn Drury's employer includes managed dental care in its employee benefits package. During open enrollment, Ms. Drury enrolled in the dental plan, which provides dental services to its members in exchange for a prepayment (the premium). Dental services
