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

The scandent Health Group contracted with the Empire Corporation to provide behavioral healthcare services to.

Empire employees. As a condition of providing behavioral healthcare services, scandent required Empire to contract with scandent for basic medical services scandent's actions constituted the type of antitrust violation known as a

In order to be more effective, changes to structure and processes must be carefully

In order to measure the expenses of institutional utilization, Holt Health care group uses standard formula to calculate hospital bed stays per 1000 plan members. On 26 November, Holt uses the following information to:

Calculate the bed days per 1000 members for the MTD Total gross hospital bed days in MTD = 500

Plan membership = 15000

Calculate Holt's number of bed days per 1000 members for the month to date, rounded to the nearest whole number.

Which out of the three is accomplished through precertification?

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 professionals in academia and businesspeople who do not work for Polestar. Dr. Carolyn Porter, a university president, is on Polestar's board. From the following answer choices, select the response containing the term that correctly identifies Polestar's relationship to Polaris and the term that describes the type of board member represented by Dr. Porter

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

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