AHIP AHM-250 PAHM Exam Questions Instant Access

Question 1

Primary care case managers (PCCMs) provide managed healthcare services to eligible Medicaid recipients. With regard to PCCMs, it is correct to say that

APCCMs contract directly with the federal government to provide case management services to Medicaid recipients

Ball Medicaid recipients who live in rural areas must be given a choice of at least four PCCMs

CMedicaid PCCM programs are exempt from the Health Care Financing Administration's (HCFA's) Quality Improvement System for Managed Care (QISMC) standards

DPCCMs typically receive a case management fee, rather than reimbursement for medical services on a FFS basis, for the services they provide to Medicaid recipients

Answer : C

Question 2

The following statements describe individuals who are applying for individual health insurance coverage:

Six months ago, Wilbur Lee lost his health insurance coverage due to a reduction in work hours and has exhausted his coverage under COBR

AMr. Lee has

Aboth Mr. Lee and Mr. Beeker

BMr. Lee only

CMr. Beeker only

Dneither Mr. Lee nor Mr. Beeker

Answer : A, A

Question 3

The existing committees at the Majestic Health Plan, a health plan that is subject to the requirements of HIPAA, include the Executive Committee and the Corporate Compliance Committee. The Executive Committee serves as a long-term advisory body on issues

ABoth 1 and 2

B1 only

C2 only

DNeither 1 nor 2

Answer : B

Question 4

The following statements apply to health reimbursement arrangements. Select the answer choice that contains the correct statement.

AOnly employers are permitted to establish and fund HRAs.

BThe popularity of HRAs waned following a 2002 ruling by U.S. Treasury Department regarding their treatment in the tax code.

CHRAs must be offered in conjunction with a high-deductible health plan.

DThe guaranteed portability feature of HRAs has contributed to their popularity.

Answer : A

Question 5

For providers, integration occurs when two or more previously separate providers combine under common ownership or control, or when two or more providers combine business operations that they previously carried out separately and independently. Such provi

Ahigher costs for health plans, healthcare purchasers, and healthcare consumers

Bimproved provider contracting position with health plans

Can increase in providers' autonomy and control over their own work environment

Dall of the above

Answer : B

Question 6

The parties to the contractual relationship that provides Castle's group health coverage to Knoll employees are

ACastle and Knoll only

BKnoll and all covered Knoll employees only

CCastle, Knoll, and all covered Knoll employees

DCastle and all covered Knoll employees only

Answer : A

Question 7

In response to the demand for a method of assessing outcomes, accrediting organizations and other government and commercial groups have developed quantitative measures of quality that consumers, purchasers, regulators, and others can use to compare health

Aquality standards

Baccreditation decisions

Cstandards of care

Dperformance measures

Answer : D

AHIP Healthcare Management: An Introduction AHM-250 PAHM Exam Questions