AHM-540 Exam Details

  • Exam Code
    :AHM-540
  • Exam Name
    :Medical Management
  • Certification
    :AHIP Certifications
  • Vendor
    :AHIP
  • Total Questions
    :163 Q&As
  • Last Updated
    :Jul 12, 2026

AHIP AHM-540 Online Questions & Answers

  • Question 161:

    Determine whether the following statement is true or false:

    The delegation of medical management functions to providers can occur without the transfer of financial risk.

    A. True
    B. False

  • Question 162:

    Comparing the quality of managed Medicare programs with the quality of FFS Medicare programs is often difficult. Unlike FFS Medicare, managed Medicare programs

    A. can measure and report quality only at the provider level
    B. use a single system to deliver services to all plan members
    C. provide an organizational focus for accountability
    D. can use the same performance measures for all products and plans

  • Question 163:

    Comorbidity can have a significant impact on the effective implementation of disease management programs. Comorbidity can correctly be defined as the

    A. degree to which the progression of a disease or condition is understood
    B. prevalence or rate of a sickness or injury within a given population
    C. degree of severity of a particular disease or condition
    D. presence of a chronic condition or added complication other than the condition that requires medical treatment

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