Summer Sale Special Limited Time 65% Discount Offer - Ends in 0d 00h 00m 00s - Coupon code: s2p65

Easiest Solution 2 Pass Your Certification Exams
  1. Home
  2. AHIP
  3. AHIP Certification
  4. AHM-530 - Network Management

AHIP AHM-530 Practice Test Questions Answers

Exam Code: AHM-530 (Updated 202 Q&As)
 Exam Name: Network Management
 Last Update: 18-Sep-2025
 Demo:  Download Demo

PDF + Testing Engine
Testing Engine
PDF
$50.75   $144.99
$38.5   $109.99
$35   $99.99
 Add To Cart
 Add To Cart
 Add To Cart

Questions Include:

  • Single Choice: 202 Q&A's

    • AHM-530 Overview

    Top Vendors

    Cisco
    IIBA
    ISC
    ISTQB
    Juniper
    Paloalto Networks
    The Open Group
    VMware
    Splunk
    CIMA
    ACAMS
    CISI
    Cyber AB
    NVIDIA
    Zscaler

    Other AHIP Exams

    AHIP Related Exams

    Reliable Solution To Pass AHM-530 AHIP Certification Certification Test

    Our easy to learn AHM-530 Network Management questions and answers will prove the best help for every candidate of AHIP AHM-530 exam and will award a 100% guaranteed success!

    Why AHM-530 Candidates Put Solution2Pass First?

    Solution2Pass is ranked amongst the top AHM-530 study material providers for almost all popular AHIP Certification certification tests. Our prime concern is our clients’ satisfaction and our growing clientele is the best evidence on our commitment. You never feel frustrated preparing with Solution2Pass’s Network Management guide and AHM-530 dumps. Choose what best fits with needs. We assure you of an exceptional AHM-530 Network Management study experience that you ever desired.

    A Guaranteed AHIP AHM-530 Practice Test Exam PDF

    Keeping in view the time constraints of the IT professionals, our experts have devised a set of immensely useful AHIP AHM-530 braindumps that are packed with the vitally important information. These AHIP AHM-530 dumps are formatted in easy AHM-530 questions and answers in simple English so that all candidates are equally benefited with them. They won’t take much time to grasp all the AHIP AHM-530 questions and you will learn all the important portions of the AHM-530 Network Management syllabus.

    Most Reliable AHIP AHM-530 Passing Test Questions Answers

    A free content may be an attraction for most of you but usually such offers are just to attract people to clicking pages instead of getting something worthwhile. You need not surfing for online courses free or otherwise to equip yourself to pass AHM-530 exam and waste your time and money. We offer you the most reliable AHIP AHM-530 content in an affordable price with 100% AHIP AHM-530 passing guarantee. You can take back your money if our product does not help you in gaining an outstanding AHM-530 Network Management exam success. Moreover, the registered clients can enjoy special discount code for buying our products.

    AHIP AHM-530 AHIP Certification Practice Exam Questions and Answers

    For getting a command on the real AHIP AHM-530 exam format, you can try our AHM-530 exam testing engine and solve as many AHM-530 practice questions and answers as you can. These AHIP AHM-530 practice exams will enhance your examination ability and will impart you confidence to answer all queries in the AHIP AHM-530 Network Management actual test. They are also helpful in revising your learning and consolidate it as well. Our Network Management tests are more useful than the VCE files offered by various vendors. The reason is that most of such files are difficult to understand by the non-native candidates. Secondly, they are far more expensive than the content offered by us. Read the reviews of our worthy clients and know how wonderful our Network Management dumps, AHM-530 study guide and AHM-530 Network Management practice exams proved helpful for them in passing AHM-530 exam.

    All AHIP Certification Related Certification Exams

    AHM-250 Dumps
    Healthcare Management: An Introduction
    Total Questions: 367
    Updated: 18-Sep-2025
    Buy Now
    AHM-510 Dumps
    Governance and Regulation
    Total Questions: 76
    Updated: 18-Sep-2025
    Buy Now
    AHM-520 Dumps
    Health Plan Finance and Risk Management
    Total Questions: 215
    Updated: 18-Sep-2025
    Buy Now
    AHM-540 Dumps
    Medical Management
    Total Questions: 163
    Updated: 18-Sep-2025
    Buy Now

    AHM-530 Questions and Answers

    Question # 1

    One true statement about the responsibilities of providers under typical provider contracts is that most provider contracts:

    A.

    include a clause which states that providers must maintain open communications with patients regarding appropriate treatment plans, unless the services are not covered by the member's health plan

    B.

    hold that the responsibility of the provider to deliver services is usually subject to the provider's receipt of information regarding the eligibility of the member

    C.

    contain a gag clause or a gag rule

    D.

    include a clause that explicitly places the responsibility for medical care on the health plan rather than on the provider of medical services

    Question # 2

    The actual number of providers included in a provider network can be based on staffing ratios. One true statement about staffing ratios is that, typically:

    A.

    A small health plan needs fewer physicians per 1,000 than does a large plan.

    B.

    A closely managed health plan requires fewer providers than does a loosely managed plan.

    C.

    Physician-to-enrollee ratios can be used directly only by network-within-a-network model HMOs.

    D.

    Medicare products require fewer providers than do employer-sponsored plans of the same size.

    Question # 3

    A health plan that delegates designated credentialing activities to an NCQA-centered or a Commission/URAC-centered credentials verification organization (CVO) is exempt from the due-diligence oversight requirements specified in the NCQA credentialing standards for all verification services for which the CVO has been certified:

    A.

    True

    B.

    False

    Question # 4

    The following statement(s) can correctly be made about contracting and reimbursement of specialty care physicians (SCPs):

    A.

    Typically, a health plan should attempt to control utilization of SCPs before attempting to place these providers under a capitation arrangement.

    B.

    Forms of specialty physician reimbursement used by health plans include a retainer and a bundled case rate.

    C.

    Both A and B

    D.

    A only

    E.

    B only

    F.

    Neither A nor B

    Question # 5

    The following statements describe two types of HMOs:

    The Elm HMO requires its members to select a PCP but allows the members to go to any other provider on its panel without a referral from the PCP.

    The Treble HMO does not require its members to select a PCP. Treble allows its members to go to any doctor, healthcare professional, or facility that is on its panel without a referral from a primary care doctor. However, care outside of Treble's network is not reimbursed unless the provider obtains advance approval from the HMO.

    Both HMOs use delegation to transfer certain functions to other organizations. Following the guidelines established by the NCQA, Elm delegated its credentialing activities to the Newnan Group, and the agreement between Elm and Newnan lists the responsibilities of both parties under the agreement. Treble delegated utilization management (UM) to an IPA. The IPA then transferred the authority for case management to the Quest Group, an organization that specializes in case management.

    Both HMOs also offer pharmacy benefits. Elm calculates its drug costs according to a pricing system that requires establishing a purchasing profile for each pharmacy and basing reimbursement on the profile. Treble and the Manor Pharmaceutical Group have an arrangement that requires the use of a typical maximum allowable cost (MAC) pricing system to calculate generic drug costs under Treble's pharmacy program. The following statements describe generic drugs prescribed for Treble plan members who are covered by Treble's pharmacy benefits:

    The MAC list for Drug A specifies a cost of 12 cents per tablet, but Manor pays 14 cents per tablet for this drug.

    The MAC list for Drug B specifies a cost of 7 cents per tablet, but Manor pays 5 cents per tablet for this drug.

    To calculate its drug costs, Elm uses a pricing system known as:

    A.

    Estimated acquisition cost (EAC)

    B.

    Package rate cost (PRC)

    C.

    Actual acquisition cost (AAC)

    D.

    Wholesale acquisition cost (WAC)

    Free AHM-530 AHIP Exam Questions 6 to 25
    Free AHM-530 AHIP Exam Questions 26 to 45
    Free AHM-530 AHIP Exam Questions 46 to 65
    Copyright © 2014-2025 Solution2Pass. All Rights Reserved