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AHM-530 Dumps - Network Management Practice Exam Questions

AHIP AHM-530 - Network Management Braindumps

AHIP AHM-530 - AHIP Certification Practice Exam

  • Certification Provider:AHIP
  • Exam Code:AHM-530
  • Exam Name:Network Management Exam
  • Total Questions:202 Questions and Answers
  • Updated on:Nov 29, 2024
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AHIP AHM-530 This Week Result

AHM-530 Question and Answers

Question # 1

From the following answer choices, choose the type of clause or provision described in this situation.

The provider contract between Dr. Olin Norquist and the Granite Health Plan specifies a time period for the party who has breached the contract to remedy the problem and avoid termination of the contract.

Options:

A.  

Cure provision

B.  

Hold-harmless provision

C.  

Evergreen clause

D.  

Exculpation clause

Discussion 0
Question # 2

Salvatore Arris is a member of the Crescent Health Plan, which provides its members with a full range of medical services through its provider network. After suffering from debilitating headaches for several days, Mr. Arris made an appointment to see Neal Prater, a physician’s assistant in the Crescent network who provides primary care under the supervision of physician Dr. Anne Hunt. Mr. Prater referred Mr. Arris to Dr. Ginger Chen, an ophthalmologist, who determined that Mr. Arris’ symptoms were indicative of migraine headaches. Dr. Chen prescribed medicine for Mr. Arris, and Mr. Arris had the prescription filled at a pharmacy with which Crescent has contracted. The pharmacist, Steven Tucker, advised Mr. Arris to take the medicine with food or milk. In this situation, the person who functioned as an ancillary service provider is

Options:

A.  

Mr. Prater

B.  

Dr. Hunt

C.  

Dr. Chen

D.  

Mr. Tucker

Discussion 0
Question # 3

Most health plan contracts provide an outline of the criteria that a healthcare service must meet in order to be considered “medically necessary.” Typically, in order for a healthcare service to be considered medically necessary, the service provided by a physician or other healthcare provider to identify and treat a member’s illness or injury must be

Options:

A.  

Consistent with the symptoms of diagnosis

B.  

Furnished in the least intensive type of medical care setting required by the member’s condition

C.  

In compliance with the standards of good medical practice

D.  

All of the above

Discussion 0

PDF vs Software Version

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