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AHIP AHM-250 Practice Test Questions Answers

Exam Code: AHM-250 (Updated 367 Q&As)
Exam Name: Healthcare Management: An Introduction
Last Update: 12-Jul-2025
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Questions Include:

  • Single Choice: 365 Q&A's
  • Multiple Choice: 2 Q&A's

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    AHM-250 Questions and Answers

    Question # 1

    In the United States, the Department of Defense offers ongoing healthcare coverage to military personnel and their families through the TRICARE health plan. One true statement about TRICARE is that:

    A.

    Active duty military personnel are automatically considered enrolled in TRICARE Prime

    B.

    TRICARE covers inpatient and outpatient services, physician and hospital charges, and medical supplies, but not mental health services.

    C.

    TRICARE enrollees are not entitled to appeal authorization or coverage decisions

    D.

    Hospitals participating in the TRICARE program are exempt from JCAHO accreditation and Medicare certification.

    Question # 2

    The following programs are part of the Alcove MCO's utilization management (UM) program:

      A telephone triage program

      Preventive care initiatives

      A shared decision-making program

      A self-care program

    With regard to the UM programs, it is most likely cor

    A.

    self-care program is intended to complement physicians' services, rather than to supercede or eliminate these services

    B.

    telephone triage program is staffed by physicians only

    C.

    shared decision-making program is appropriate for virtually any medical condition

    D.

    preventive care initiatives include immunization programs but not health promotion programs

    Question # 3

    Medicaid is a jointly funded federal and state program that provides hospital and medical expense coverage to low-income individuals and certain aged and disabled individuals. One characteristic of Medicaid is that

    A.

    providers who care for Medicaid recipients must accept Medicaid payment as payment in full for services rendered

    B.

    Medicaid requires recipients to pay deductibles, copayments, and coinsurance amounts for all services

    C.

    Medicaid is always the primary payer of benefits

    D.

    benefits offered by Medicaid programs are federally mandated and do not vary by state

    Question # 4

    Several marketplace factors helped fuel the movement toward consumer choice. Which one of the following statements is NOT accurate with regard to these factors?

    A.

    After a period of relative stability, annual growth in private health spending per capita began to increase rapidly in 2002.

    B.

    During the height of the recent cost upswing, insurance premiums were increasing by more than 13% annually.

    C.

    Increased utilization was the largest factor contributing to the rise in premiums, accounting for 43% of the increase.

    D.

    Employer payers began seeking ways to control spiraling utilization rates and provide lower cost health coverage options.

    Question # 5

    Katrina Lopez is a claims analyst for a health plan that provides a higher level of benefits for services received in-network than for services received out-of-network. Ms. Lopez reviewed a health claim for answers to the following questions:

    Question A -

    A.

    A, B, C, and D

    B.

    A, B, and D only

    C.

    B, C, and D only

    D.

    A and C only

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