Free AHM-250 Exam Braindumps

- (Topic 1)
If left unresolved, member complaints about the actions or decisions made by a health plan or its providers can lead to formal appeals. One procedure health plans can use to address formal appeals is to submit the original decision and any supporting info

1. A. A Level One appeal, and the member has the right to a further appeal
2. B. A Level Two appeal, and the reviewer's decision is final and binding
3. C. An independent external appeal, and the member has the right to a further appeal
4. D. Arbitration, and the reviewer's decision is final and binding

Correct Answer: A

- (Topic 3)
To set up and contribute to an HSA, an individual must:

1. A. Be covered by a high-deductible health plan that meets federal requirements.
2. B. Not have other health insurance.
3. C. Not be enrolled in Medicare.
4. D. All of the above.

Correct Answer: D

- (Topic 2)
In the paragraph below, two statements each contain a pair of terms enclosed in parentheses. Determine which term correctly completes each statement. Then select the answer choice containing the two terms that you have chosen. For providers, (operational /

1. A. operational / an acquisition
2. B. operational / a consolidation
3. C. structural / an acquisition
4. D. structural / a consolidation

Correct Answer: D

- (Topic 2)
The following programs are part of the Alcove MCO's utilization management (UM) program:
✑ A telephone triage program
✑ Preventive care initiatives
✑ A shared decision-making program
✑ A self-care program
With regard to the UM programs, it is most likely cor

1. A. self-care program is intended to complement physicians' services, rather than to supercede or eliminate these services
2. B. telephone triage program is staffed by physicians only
3. C. shared decision-making program is appropriate for virtually any medical condition
4. D. preventive care initiatives include immunization programs but not health promotion programs

Correct Answer: A

- (Topic 3)
Salient features of a Health Savings Account include all of the following except

1. A. Funding by both employer & the employee
2. B. Employer account ownership
3. C. Account portability & roll over of funds from year to year
4. D. Investment opportunities

Correct Answer: B