Printable PDFAHIP AHM-540 dumps - 100% Pass Guarantee!
Vendor: AHIP
Certifications: AHIP Certifications
Exam Name: Medical Management
Exam Code: AHM-540
Total Questions: 163 Q&As
Last Updated: Mar 16, 2025
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AHM-540 Q&A's Detail
| Exam Code: | AHM-540 |
| Total Questions: | 163 |
CertBus Has the Latest AHM-540 Exam Dumps in Both PDF and VCE Format
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AHM-540 Online Practice Questions and Answers
The paragraph below contains an incomplete statement. Select the answer choice containing the term that correctly completes the paragraph.
Medical management programs often require the analysis of many types of data and information. __________________ is an automated process that analyzes variables to help detect patterns and relationships in the data.
A. Unbundling
B. Outsourcing
C. Data mining
D. Drilling down
Most health plans require a PCP referral or precertification for CAM benefits.
A. True
B. False
Acute care refers to healthcare services for medical problems that
A. are expected to continue for a minimum of 30 days
B. are typically treated in a provider's office or outpatient facility
C. require prompt, intensive treatment by healthcare providers
D. require low utilization of resources
The nature of behavioral healthcare creates unique medical management challenges for health plans. One method health plans have used to support the delivery of appropriate services in a cost-effective manner is to
A. remove behavioral healthcare services from the primary care setting
B. shift behavioral healthcare from acute inpatient settings to alternative settings when feasible
C. reserve the use of psychotherapy for treatment of those conditions that persist over long periods of time or for the life of the patient
D. offer the same level of compensation to all of the professional disciplines that provide behavioral healthcare services to plan members
The paragraph below contains an incomplete statement. Select the answer choice containing the term that correctly completes the paragraph.
Definitions of quality healthcare vary; however, four dimensions are essential to quality healthcare services. ________________ is the quality dimension indicating that services result in the best care for a given cost or the lowest cost for a given level of care.
A. Accessibility
B. Effectiveness
C. Acceptability
D. Efficiency
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