AHIP AHM-250 PAHM Exam Practice Test Instant Access

Question 1

Which of the following population groups are eligible for Medicare coverage

AIndividuals aged 65 & above, regardless of income & medical history

BIndividuals suffering from end stage renal disease, regardless of age

CIndividuals aged 50 or above suffering from qualifying disabilities

DBoth A & B

Answer : D

Question 2

Prescription drug benefits in Medicare can be obtained through:

AStand alone prescription drug pl (PDPs)

BTraditional fee for service (FFS) Medicare

CMedicare Advantage pl

DBoth A & C

Answer : A

Question 3

Keith Murray is a 45 year old chartered accountant & 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?

AKeith shall be entitled to Part A benefits when he attains 65 years of age

BKeith's wife shall be entitled to Part A benefits when she attains 65 years of age

CKeith's wife shall be required to pay a monthly premium in order to receive Medicare Part A benefits

DBoth a & b

Answer : D

Question 4

In Order to act as a TPA an organization must

AEstablish written procedures for adverse determinations and appeals

BObtain a certificate of authority from the state insurance department

CDesignating the organization as a TPA

DAll of the above

Answer : B

Question 5

The process of identifying and classifying the risk represented by an individual or group is called

ARating

BAnti selection

CUnderwriting

DNone of the above

Answer : C

Question 6

High deductible health plans (HDHP) are characterized by all of the following features except

AA HDHPs have a higher deductible than other traditional insurance products such as HMOs & PPOs.

BHDHPs generally cost more than traditional heathcare coverage.

CSome HDHPs cover preventive care on a first-dollar coverage basis.

DAll of the above

Answer : A

Question 7

A differences between managed indemnity & traditional indemnity

AInclude precertification and utilization review techniques

BBoth are the same

CInclude network and quality review techniques

DA & B

Answer : C

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