AHM-530認定デベロッパー、AHM-250学習資料

Pass4TestのAHIPのAHM-530「Network Management」試験トレーニング資料はあなたがリスクフリー購入することを保証します。購入する前に、あなたはPass4Testが提供した無料な一部の問題と解答をダウンロードして使ってみることができます。Pass4Testの問題集の高品質とウェブのインタ—フェ—スが優しいことを見せます。それに、我々は一年間の無料更新サービスを提供します。失敗しましたら、当社は全額で返金して、あなたの利益を保障します。Pass4Testが提供した資料は実用性が高くて、絶対あなたに向いています。

試験番号：AHM-530
試験科目：「Network Management」
一年間無料で問題集をアップデートするサービスを提供いたします
最近更新時間：2015-10-06
問題と解答：全202問 AHM-530 資格認定

>> AHM-530 資格認定

 

試験番号：AHM-250
試験科目：「Healthcare Management: An Introduction」
一年間無料で問題集をアップデートするサービスを提供いたします
最近更新時間：2015-10-06
問題と解答：全367問 AHM-250 試験問題集

>> AHM-250 試験問題集

 

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NO.1 The Oriole MCO uses a typical diagnosis-related groups (DRGs) payment method to reimburse
the Isle Hospital for its treatment of Oriole members. Under the DRG payment method, whenever an
Oriole member is hospitalized at Isle, Oriole pays Isle
A. an amount based on the weighted value of each medical procedure or service that Isle provides,
and the weighted value is determined by the appropriate current procedural terminology (CPT) code
for the procedure or service
B. a fixed rate based on average expected use of hospital resources in a given geographical area for
that DRG
C. a retrospective reimbursement based on the actual costs of the Oriole member's hospitalization
D. a specific negotiated amount for each day the Oriole member is hospitalized
Answer: B

AHIP最新試験   AHM-250学習指導   AHM-250入門   AHM-250練習   AHM-250

NO.2 Bill the member for the balance of the fee above the maximum allowable amount under the fee
schedule reimbursement method
A. UCR fee
B. Capitation fee
C. Balance bill
D. Discounted fee-for-service
Answer: C

AHIP過去   AHM-250ワークスペース   AHM-250   AHM-250

NO.3 A public employer, such as a municipality or county government would be considered which of
the following?
A. Employer-employee group
B. Multiple-employer group
C. Affinity group
D. Debtor-creditor group
Answer: A

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NO.4 Which of the choices below contains the four tools used by marketers that make up the
'promotion mix'?
A. Advertising, personal selling, sales promotion, and publicity.
B. Advertising, price, sales promotion, and publicity.
C. Admissions, personal selling, sales promotion, and publicity.
D. Advertising, personal selling, sales promotion, and privacy.
Answer: A

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NO.5 Utilization management techniques that most HMOs use for hospital providers include:
A. Discharge planning
B. Case management
C. Co-payment for office visits
D. A & B
Answer: A,B

AHIP認証試験   AHM-250組織   AHM-250資格

NO.6 Which of the following statements is true?
A. A declining economy can lead to lower healthcare costs as a result of an older population with
greater healthcare needs.
B. A larger patient population increases pressure on the health plan to offer larger panels.
C. Provider networks are not affected by the federal and state laws that apply to health plans
D. Network management standards established by independent accrediting organizations have no
influence on health plan network design.
Answer: B

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NO.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
A. quality standards
B. accreditation decisions
C. standards of care
D. performance measures
Answer: D

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NO.8 The main purpose of the Health Plan Employer Data and Information Set (HEDIS) is to provide
A. expert consultation to end-users for solving specialized and complex healthcare problems through
the use of a knowledge-based computer system
B. a comprehensive accreditation for PPOs
C. measurements of plan performance and effectiveness that potential healthcare purchasers can use
to compare quality offered by different healthcare plans
D. a mathematical model that can predict future claim payments and premiums
Answer: C

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