AHIP AHM-250 Online Practice Questions and Exam Preparation

AHIP AHM-250 Online Questions & Answers

• Question 291:

  The Polestar Company's sole business is the ownership of Polaris Medical Group, a health plan and subsidiary of Polestar. Some members of Polestar's board of directors hold positions with Polestar in addition to their positions on the board; the rest are

  A. Polestar's relationship to Polaris: partnership Type of board member: operations director
  B. Polestar's relationship to Polaris: partnership Type of board member: outside director
  C. Polestar's relationship to Polaris: holding company Type of board member: operations director
  D. Polestar's relationship to Polaris: holding company Type of board member: outside director
  D. Polestar's relationship to Polaris: holding company Type of board member: outside director

• Question 292:

  Health savings accounts were created by which of the following laws:

  A. COBRA
  B. HIPAA
  C. Medicare Modernization Act
  D. None of the Above
  C. Medicare Modernization Act

• Question 293:

  Prescription drug benefits in Medicare can be obtained through:

  A. Stand alone prescription drug pl (PDPs)
  B. Traditional fee for service (FFS) Medicare
  C. Medicare Advantage pl
  D. Both A and C
  A. Stand alone prescription drug pl (PDPs)

• Question 294:

  The following statements pertain to the federal requirements for minimum deductible and maximum out of pocket expeses for a high deductible health plan in the year 2006. Select the correct answer from the options given below.

  A. Minimum deductible - $ 1,050 for self only coverage ; maximum out of pocket expenses- $ 2,100 for self only coverage
  B. Minimum deductible - $ 1,050 for self only coverage ; maximum out of pocket expenses- $ 10.500 for family coverage
  C. Minimum deductible - $ 2,100 for self only coverage ; maximum out of pocket expenses- $ 10,500 for self only coverage
  D. Minimum deductible - $ 2,100 for self only coverage ; maximum out of pocket expenses- $ 5,250 for self only coverage
  B. Minimum deductible - $ 1,050 for self only coverage ; maximum out of pocket expenses- $ 10.500 for family coverage

• Question 295:

  In preparation for its expansion into a new service area, the Regal MCO is meeting with Dr. Nancy Buhner, a cardiologist who practices in Regal's new service area, in order to convince her to become one of the plan's participating providers. As part of the

  A. ensure that Dr. Buhner complies with all of the provisions of the Ethics in Patient Referrals Act
  B. learn whether Dr. Buhner is a licensed medical practitioner
  C. confirm Dr. Buhner's membership in the National Committee for Quality Assurance (NCQA)
  D. learn whether Dr. Buhner has had a medical malpractice claim filed or other disciplinary actions taken against her
  D. learn whether Dr. Buhner has had a medical malpractice claim filed or other disciplinary actions taken against her

• Question 296:

  The following statements are about health information networks (HINs). Three of the statements are true and one statement is false. Select the answer choice containing the FALSE statement.

  A. Most HINs are built on proprietary computer networks rather than being Internet based.
  B. While a HIN is for the exclusive use of one organization, a community health information network (CHIN) is shared by several organizations.
  C. A health plan can use a secured extranet design or a distributed database approach for its HIN.
  D. HINs have the potential to increase the quality of medical care because they make a patient's medical history readily available to each provider at the point of service.
  A. Most HINs are built on proprietary computer networks rather than being Internet based.

• Question 297:

  From the following answer choices, choose the description of the ethical principle that best corresponds to the term Autonomy

  A. Health plans and their providers are obligated not to harm their members
  B. Health plans and their providers should treat each member in a manner that respects the member's goals and values, and they also have a duty to promote the good of the members as a group
  C. Health plans and their providers should allocate resources in a way that fairly distributes benefits and burdens among the members
  D. Health plans and their providers have a duty to respect the right of their members to make decisions about the course of their lives
  D. Health plans and their providers have a duty to respect the right of their members to make decisions about the course of their lives

• Question 298:

  Medicare is the federal government program established under Title XVIII of the Social Security Act of 1965 to provide hospital, medical and other covered benefits to elderly and disabled persons. Medicare is available for:

  A. Persons age 63 or older.
  B. Persons with qualifying disabilities (over the age of 63)
  C. Persons with end-stage renal disease (ESRD)
  D. Low income individuals
  C. Persons with end-stage renal disease (ESRD)

• Question 299:

  Keith Murray is a 45 year old chartered accountant and is employed in Livingstone consultancy firm. He has been paying payroll taxes for the past 15 years. Which of the following statements is true regarding Medicare Part A entitlement?

  A. Keith shall be entitled to Part A benefits when he attains 65 years of age
  B. Keith's wife shall be entitled to Part A benefits when she attains 65 years of age
  C. Keith's wife shall be required to pay a monthly premium in order to receive Medicare Part A benefits
  D. Both a and b
  D. Both a and b

• Question 300:

  Phillip Tsai is insured by both a indemnity health insurance plan, which is his primary plan, and a health plan, which is his secondary plan. Both plans have typical coordination of benefits (COB) provisions, but neither has a nonduplication of benefits price

  A. $0
  B. $300
  C. $400
  D. $900
  C. $400