Most Recent AHIP AHM-250 Exam Dumps

Prepare for the AHIP Healthcare Management: An Introduction exam with our extensive collection of questions and answers. These practice Q&A are updated according to the latest syllabus, providing you with the tools needed to review and test your knowledge.

QA4Exam focus on the latest syllabus and exam objectives, our practice Q&A are designed to help you identify key topics and solidify your understanding. By focusing on the core curriculum, These Questions & Answers helps you cover all the essential topics, ensuring you're well-prepared for every section of the exam. Each question comes with a detailed explanation, offering valuable insights and helping you to learn from your mistakes. Whether you're looking to assess your progress or dive deeper into complex topics, our updated Q&A will provide the support you need to confidently approach the AHIP AHM-250 exam and achieve success.

The questions for AHM-250 were last updated on May 3, 2025.

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Question No. 1

The Fairway Health Group contracted with the Empire Corporation to provide behavioral healthcare services to Empire employees. As a condition of providing behavioral healthcare services, Fairway required Empire to contract with Fairway for basic medical s

Ahorizontal group boycott

Bprice-fixing agreement

Chorizontal division of markets

Dtying arrangement

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Correct Answer: D

Question No. 2

The following statements are about the underwriting function within a health plan. Select the answer choice containing the correct statement.

AThe underwriting function in a health plan is primarily concerned with ensuring that the group being underwritten does not include any individuals who are likely to have higher than average utilization of medical services.

BCompared to a health plan with relaxed underwriting requirements, a similar health plan with very strict underwriting requirements can expect to experience increased healthcare costs and to have significantly higher plan enrollment.

CTypically, a health plan guarantees the premium rate for a group health contract for a period of no more than six months.

DIn order to determine the actual premium to charge a group, a group underwriter typically considers such factors as level of participation, benefits, and the age and gender distribution of group members.

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Correct Answer: D

Question No. 3

Using a code for a procedure or diagnosis that is more complex than the actual procedure or diagnosis and that results in higher reimbursement to the provider is called ______________.

ACoding error

BOvercharging

CUpcoming

DUnbundling

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Correct Answer: C

Question No. 4

In the CPT system, each service or procedure is identified by

AThree-digit with decimal point

BThree-digit

CFive-digit with decimal point

DFive-digit

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Correct Answer: D

Question No. 5

Mr. George Bush is covered by a PBM plan that uses a closed formulary. This indicates that

Ahe can receive coverage for pharmaceuticals only if they are on the PBM plan's preferred list of drugs

Bhe must receive all of his pharmaceuticals from a mail-order pharmacy program

Che can receive coverage for pharmaceuticals that are on the PBM plan's preferred list of drugs, as well as for pharmaceuticals that are not on the preferred list

Dthe PBM plan cannot receive a rebate on any pharmaceuticals it obtains from the pharmaceutical facture

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Correct Answer: A

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