AHIP AHM-250 PAHM Exam Practice Test Instant Access

Question 1

Renewal underwriting involves a reevaluation of

AThe group's experience

BLevel of participation in the health plan

CBoth A and B

DNone of the Above

Answer : C

Question 2

The Panacea Healthcare System is a single large medical practice based in Oakland, California. The physicians of Panacea operate through a single office located in the Beverly Hills region of Oakland & do have access to the same medical records. Panacea is owned by Queen's hospital & before Panacea acquired the practices of its participating physicians, these physicians were independent practitioners. Which of the following terms best describes Panacea?

APhysician Practice Management Compare

BPhysician Hospital Organization

CConsolidated Medical Group

DNone of the above

Answer : C

Question 3

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

AMinimum deductible - $ 1,050 for self only coverage ; maximum out of pocket expenses- $ 2,100 for self only coverage

BMinimum deductible - $ 1,050 for self only coverage ; maximum out of pocket expenses- $
10.500 for family coverage

CMinimum deductible - $ 2,100 for self only coverage ; maximum out of pocket expenses- $ 10,500 for self only coverage

DMinimum deductible - $ 2,100 for self only coverage ; maximum out of pocket expenses- $ 5,250 for self only coverage

Answer : B

Question 4

Salient features of a Health Savings Account include all of the following except

AFunding by both employer & the employee

BEmployer account ownership

CAccount portability & roll over of funds from year to year

DInvestment opportunities

Answer : B

Question 5

Which of the following factors have contributed to the limited popularity of FSAs

A'Use it or lose it' provision

BLack of portability

COnly self-employed individuals are eligible for establishing FSAs.

DBoth A &B

Answer : D

Question 6

What are the characteristics that the underwriter has to consider while determining the premium rate for health insurance coverage for a group?

ALevel of benefits

BGeographic location

CGroup size

DAll the above

Answer : D

Question 7

Bill the member for the balance of the fee above the maximum allowable amount under the fee schedule reimbursement method

AUCR fee

BCapitation fee

CBalance bill

DDiscounted fee-for-service

Answer : C

AHIP AHM-250 Healthcare Management: An Introduction PAHM Exam Practice Test