Free AHM-250 Exam Braindumps

- (Topic 3)
To determine fee reimbursements to be paid to physicians, the Triangle Health Plan assigns a weighted value to each medical procedure or service and multiplies the weighted value by a money multiplier. Triangle and the providers negotiate the value of the

1. A. diagnosis-related group (DRG) system
2. B. relative value scale (RVS)
3. C. partial capitation arrangement
4. D. capped fee system

Correct Answer: B

- (Topic 2)
The Ark Health Plan, is currently recruiting providers in preparation for its expansion into a new service area. A recruiter for Ark has been meeting with Dr. Nan Shea, a pediatrician who practices in Ark's new service area, in order to convince her to be

1. A. Credentialing
2. B. Accreditation
3. C. A sentinel event
4. D. A screening program

Correct Answer: A

- (Topic 3)
The following statements describe common types of physician/hospital integrated models:
(A) The Alpha Company, which is owned by a group of investors, is a for-profit legal entity that buys entire physician practices, not just the tangible assets of the p

1. A. Physician hospital organization physician practice management company
2. B. Physician practice management company physician hospital organization
3. C. Medical foundation management services company
4. D. Physician hospital organization medical foundation

Correct Answer: B

- (Topic 3)
The existing committees at the Majestic Health Plan, a health plan that is subject to the requirements of HIPAA, include the Executive Committee and the Corporate Compliance Committee. The Executive Committee serves as a long-term advisory body on issues related to overall organizational policy. The Corporate Compliance Committee are convened to address specific management concerns. The following statement(s) can correctly be made about these committees:

1. A. Majestic's Executive Committee is an example of a Specific committee.
2. B. The Corporate Compliance Committee is an Example of an Adhoc company.
3. C. A & B

Correct Answer: B

- (Topic 3)
One among the following is a reason that limit access to health care for US people.

1. A. Life Style of the people
2. B. Concentration of physicians in highly populated areas.
3. C. Advancement in information technology

Correct Answer: B