Valid AHM-250 Dumps shared by ExamDiscuss.com for Helping Passing AHM-250 Exam! ExamDiscuss.com now offer the newest AHM-250 exam dumps, the ExamDiscuss.com AHM-250 exam questions have been updated and answers have been corrected get the newest ExamDiscuss.com AHM-250 dumps with Test Engine here:

Access AHM-250 Dumps Premium Version
(367 Q&As Dumps, 35%OFF Special Discount Code: freecram)

<< Prev Question Next Question >>

Question 200/217

The prudent layperson standard described in the Balanced Budget Act (BBA) of 1997 requires all hospitals that receive Medicare or Medicaid reimbursement to screen and, if necessary, stabilize all patients who come to their emergency departments.

LEAVE A REPLY

Your email address will not be published. Required fields are marked *

Question List (217q)
Question 1: One way in which health plans differ from traditional indemn...
Question 2: Greentree Medical, a health plan, is currently recruiting PC...
Question 3: Health plans may use different capitation arrangements for d...
Question 4: By offering a comprehensive set of healthcare benefits to it...
Question 5: In the United States, the Department of Defense offers ongoi...
Question 6: One of the most influential pieces of legislation in the adv...
Question 7: If left unresolved, member complaints about the actions or d...
Question 8: All CDHP products provide federal tax advantages while allow...
Question 9: The Employee Retirement Income Security Act (ERISA) requires...
Question 10: The application of health plan principles to workers' compen...
Question 11: Arthur Moyer is covered under his employer's group health pl...
Question 12: Federal Employee Health Benefits Program (FEHBP) requires he...
Question 13: In certain situations, a health plan can use the results of ...
Question 14: If most of the physicians, or many of the physicians in a pa...
Question 15: Which of the following is WRONG?...
Question 16: Most contracts between health plans and providers contain a ...
Question 17: Janet Riva is covered by an indemnity health insurance plan ...
Question 18: Bart Vereen is insured by both a traditional indemnity healt...
Question 19: In certain situations, a health plan can use the results of ...
Question 20: Members who qualify to participate in a health plan's case m...
Question 21: By definition, a health plan's network refers to the:...
Question 22: The following paragraph contains an incomplete statement. Se...
Question 23: The following statement can be correctly made about Medicare...
Question 24: Medicare Part C can be delivered by the following Medicare A...
Question 25: One HMO model can be described as an extension of a group mo...
Question 26: Which out of the three is accomplished through precertificat...
Question 27: Some states mandate that an independent enrollment broker or...
Question 28: From the answer choices below, select the response that corr...
Question 29: The prudent layperson standard described in the Balanced Bud...
Question 30: Dr. Julia Phram is a cardiologist under contract to Holcomb ...
Question 31: Employer-sponsored benefit plans that provide healthcare ben...
Question 32: In most cases, medical errors are caused by breakdowns in th...
Question 33: Because many patients with behavioral health disorders do no...
Question 34: The Clover Group is a for-profit MCO that operates in the Un...
Question 35: Many HMOs are compensated for the delivery of healthcare to ...
Question 36: One true statement regarding ethics and laws is that the val...
Question 37: Bill Clinton is a member of Lewinsky's PBM plan which has a ...
Question 38: A health plan may use one of several types of community rati...
Question 39: One true statement regarding ethics and laws is that the val...
Question 40: Historically most HMOs have been...
Question 41: Before an HMO contracts with a physician, the HMO first veri...
Question 42: The process of identifying and classifying the risk represen...
Question 43: One true statement about community rating, a rating method c...
Question 44: The following paragraph contains an incomplete statement. Se...
Question 45: In the United States, the Department of Defense offers ongoi...
Question 46: From the following answer choices, choose the description of...
Question 47: Health plans' use of the Internet to provide plan members wi...
Question 48: The contract between the Honolulu MCO and Beverley Hills Hos...
Question 49: Dr. Milton Ware, a physician in the Riverside MCO's network ...
Question 50: As part of its quality management program, the Lyric Health ...
Question 51: A common physician-only integrated model is a group practice...
Question 52: The data evaluation stage of utilization review (UR) include...
Question 53: Phillip Tsai is insured by both an indemnity health insuranc...
Question 54: Provider integration has two components: operational integra...
Question 55: One distinction that can be made between a staff model HMO a...
Question 56: In accounting terminology, the items of value that a company...
Question 57: Specialty services with certain characteristics tend to make...
Question 58: The National Association of Insurance Commissioners (NAIC) d...
Question 59: The criteria used to identify and measure healthcare quality...
Question 60: Amendments to the HMO act 1973 do not permit federally quali...
Question 61: From the following answer choices, choose the description of...
Question 62: Health plans sometimes contract with independent organizatio...
Question 63: The Ark Health Plan, is currently recruiting providers in pr...
Question 64: Member satisfaction is a critical element of a health plan's...
Question 65: Consumer-directed health plans are not a new concept. They a...
Question 66: ______________ HMOs can't medically underwrite any group - i...
Question 67: Which of the following is CORRECT?...
Question 68: Salient features of a Health Savings Account include all of ...
Question 69: One distinguishing characteristic of a health maintenance or...
Question 70: For providers, integration occurs when two or more previousl...
Question 71: The following statements describe two types, or models, of H...
Question 72: Identify the CORRECT statement(s): (A) Smaller the group, th...
Question 73: From the following answer choices, choose the description of...
Question 74: Federal legislation has placed the primary responsibility fo...
Question 75: Mr. George Bush is covered by a PBM plan that uses a closed ...
Question 76: Parable Healthcare Providers, a health plan, recently segmen...
Question 77: One characteristic of disease management programs is that th...
Question 78: A physician-hospital organization (PHO) may be classified as...
Question 79: Which of the following is NOT a preventive care initiative o...
Question 80: The Ark Health Plan, is currently recruiting providers in pr...
Question 81: One of the distinguishing characteristics of healthcare mark...
Question 82: One ethical principle in health plans is the principle of no...
Question 83: An exclusive provider organization (EPO) operates much like ...
Question 84: From the following answer choices, choose the description of...
Question 85: Ronald Canton is a member of the Omega MCO. He receives his ...
Question 86: Specialty services that have certain characteristics general...
Question 87: The Polestar Company's sole business is the ownership of Pol...
Question 88: After a somewhat modest start in 2004, enrollment in HSA-rel...
Question 89: When the Knoll Company purchased group health coverage from ...
Question 90: The administrative simplification standards described under ...
Question 91: Primary care case managers (PCCMs) provide managed healthcar...
Question 92: Col. Martin Avery, on active duty in the U.S. Army, is eligi...
Question 93: In assessing the potential degree of risk represented by a p...
Question 94: Which of the following statements about EPO &amp; HMO models...
Question 95: Pharmacy benefit management (PBM) companies typically intera...
Question 96: The Fairway Health Group contracted with the Empire Corporat...
Question 97: In 1999, the United States Congress passed the Financial Ser...
Question 98: Health plans use the following to determine the number of pr...
Question 99: Each of the following statements describes a health plan tha...
Question 100: In order to compensate for lost revenue resulting from servi...
Question 101: The following sentence contains an incomplete statement with...
Question 102: The Cleopatra Group, a third-party administrator (TPA), has ...
Question 103: The Azure Group is a for-profit health plan that operates in...
Question 104: In order to cover some of the gap between FFS Medicare cover...
Question 105: Appropriateness of treatment provided is determined by devel...
Question 106: Marlee Whitcomb was covered as a dependent under the group h...
Question 107: HMOs typically employ several techniques to manage provider ...
Question 108: One feature of the Employee Retirement Income Security Act (...
Question 109: The Blaine Healthcare Corporation seeks to manage its qualit...
Question 110: A health plan's ability to establish an effective provider n...
Question 111: Managed behavioral health organizations (MBHOs) use several ...
Question 112: Before the Hill Health Maintenance Organization (HMO) receiv...
Question 113: Immediate evaluation and treatment of illness or injury can ...
Question 114: In 1999, the United States Congress passed the Financial Ser...
Question 115: The existing committees at the Majestic Health Plan, a healt...
Question 116: One typical characteristic of an integrated delivery system ...
Question 117: Medicare is the federal government program established under...
Question 118: One device that PBM plans use to manage both the cost and us...
Question 119: The Hill Health Plan designed a set of benefits that it pack...
Question 120: In the paragraph below, a sentence contains two pairs of wor...
Question 121: Parul Gupta has been covered by a group health plan for eigh...
Question 122: The Advantage Health Plan recently added the following featu...
Question 123: Health savings accounts were created by which of the followi...
Question 124: System classifies hundreds of hospital services based on a n...
Question 125: Patrick Flaherty's employer has contracted to receive health...
Question 126: A particular health plan offers a higher level of benefits f...
Question 127: One way in which a health plan can support an ethical enviro...
Question 128: In order to help review its institutional utilization rates,...
Question 129: The following programs are typically included in TRICARE med...
Question 130: In addition to the credentialing activities that a health pl...
Question 131: A medical foundation is a not-for-profit entity that purchas...
Question 132: For this question, select the answer choice containing the t...
Question 133: As part of its utilization management (UM) system, the Popla...
Question 134: In large health plans, management functions such as provider...
Question 135: One factor the Sandpiper Health Plan uses to assess its qual...
Question 136: Phoebe Urich is covered by a traditional indemnity health in...
Question 137: Beginning in the early 1980s, several factors contributed to...
Question 138: Ashley Martin is covered by a managed healthcare plan that s...
Question 139: One way in which a health plan can support an ethical enviro...
Question 140: During an open enrollment period in 1997, Amy Hadek enrolled...
Question 141: As part of its utilization management (UM) system, the Creol...
Question 142: The following organizations are the primary sources of accre...
Question 143: The existing committees at the Majestic Health Plan, a healt...
Question 144: Before the Leo Health Maintenance Organization (HMO) receive...
Question 145: All good Medical, Inc., a health plan, has contracted with M...
Question 146: One type of physician-only integration model is a consolidat...
Question 147: Ian Vladmir wants to have a routine physical examination to ...
Question 148: The Acme HMO recruits and contracts directly with a wide ran...
Question 149: The Courtland PPO maintains computerized records that includ...
Question 150: Khalyn Drury's employer includes managed dental care in its ...
Question 151: The Citywide Health Group is a large provider-based health p...
Question 152: Which of the following is NOT a reason for conducting utiliz...
Question 153: Advantages of EDI over manual data management systems...
Question 154: More procedures or services may be fully covered within the ...
Question 155: Lansdale Healthcare, a health plan, offers comprehensive hea...
Question 156: One non-group market segment to which health plans market he...
Question 157: One of the most influential pieces of legislation in the adv...
Question 158: Health plans can organize under a not-for-profit form or a f...
Question 159: One ethical principle in managed care is the principle of ju...
Question 160: Paul Gilbert has been covered by a group health plan for two...
Question 161: From the following choices, choose the definition that best ...
Question 162: To address the problems associated with multiple data manage...
Question 163: Primary care case managers (PCCMs) provide case management s...
Question 164: An HMO that combines characteristics of two or more HMO mode...
Question 165: Eleanor Giambi is covered by a typical 24-hour managed care ...
Question 166: Medicaid is a jointly funded federal and state program that ...
Question 167: In order to generate exchanges with consumers, healthcare pl...
Question 168: Before the Hill Health Maintenance Organization (HMO) receiv...
Question 169: The following statements are about the non-group market for ...
Question 170: Dr. Samuel Aldridge's provider contract with the Badger Heal...
Question 171: Following a report by the Institute of Medicine on the incid...
Question 172: One characteristic of the accreditation process for MCOs is ...
Question 173: In the paragraph below, two statements each contain a pair o...
Question 174: From the following choices, choose the definition that best ...
Question 175: The Conquest Corporation contracts with the Apex health plan...
Question 176: By definition, the marketing process of defining a certain p...
Question 177: In preparation for its expansion into a new service area, th...
Question 178: The agreement by two or more independent competitors on the ...
Question 179: Several marketplace factors helped fuel the movement toward ...
Question 180: Some providers use electronic medical records (EMRs) to docu...
Question 181: Janet Riva is covered by a traditional indemnity health insu...
Question 182: Medicare Advantage product options include:...
Question 183: A public employer, such as a municipality or county governme...
Question 184: One typical characteristic of preferred provider organizatio...
Question 185: Many of the credentialing standards and criteria used by hea...
Question 186: In response to the demand for a method of assessing outcomes...
Question 187: Natalie Chan is a member of the Ultra Health Plan, a health ...
Question 188: The following types of CDHPs allow federal tax advantages in...
Question 189: The following programs are part of the Alcove MCO's utilizat...
Question 190: In order to measure the expenses of institutional utilizatio...
Question 191: Health plans require utilization review for all services adm...
Question 192: One component of information systems used by health plans in...
Question 193: In health plan terminology, demand management, as used by he...
Question 194: In claims administration terminology, a claims investigation...
Question 195: General HMO is building a provider network and is considerin...
Question 196: Al Marak, a member of the Frazier Health Plan, has asked for...
Question 197: Ed O'Brien has both Medicare Part A and Part B coverage. He ...
Question 198: Using a code for a procedure or diagnosis that is more compl...
Question 199: John Kerry's employer has contracted to receive healthcare f...
Question 200: The prudent layperson standard described in the Balanced Bud...
Question 201: Merle Spencer has coverage under both Medicare Part A and Me...
Question 202: The following sentence contains an incomplete statement with...
Question 203: Although the process is voluntary for health plans, external...
Question 204: According to the IRS, which of the following is not an allow...
Question 205: One way that MCOs involve providers in risk sharing is by re...
Question 206: Brokers are one type of distribution channel that health pla...
Question 207: Phillip Tsai is insured by both a traditional indemnity heal...
Question 208: PBM plans operate under several types of contractual arrange...
Question 209: If a state commissioner of insurance places an HMO under adm...
Question 210: Ed Murray is a claims analyst for a managed care plan that p...
Question 211: In the following sections, we will describe some of the meas...
Question 212: Emily Brown works for Integral Health Plan and represents th...
Question 213: The following programs are part of the Alcove Health Plan's ...
Question 214: During the risk assessment process for a traditional indemni...
Question 215: A health savings account must be coupled with an HDHP that m...
Question 216: Health plans often program into their claims processing syst...
Question 217: Individuals can use HSAs to pay for the following types of h...