Free AHM-530 Exam Braindumps

- (Topic 1)
From the following answer choices, choose the term that best matches the description.
An integrated delivery system (IDS), which controls most providers in a particular specialty, agrees to provide that specialty service to a health plan only on thecondition that the health planagree to contract with the IDS for other services.

1. A. Group boycott
2. B. Horizontal division of territories
3. C. Tying arrangements
4. D. Concerted refusal to admit

Correct Answer: C

- (Topic 2)
An increasing number of health plans offer coverage for alternative healthcare services. One such alternative healthcare service is biofeedback. Biofeedback is an approach that

1. A. is based on an ancient Chinese system of healing in which needles are inserted into specific sites on the body to relieve pain
2. B. treats diseases with tiny doses of substances which, in healthy people, are capable of producing symptoms like those of the disease being treated
3. C. uses electronic monitoring devices to teach a patient to develop conscious control of involuntary bodily functions, such as heart rate and body temperature
4. D. incorporates a variety of therapies, such as homeopathy, lifestyle modification, and herbal medicines, to support and maintain the body’s ability to heal itself

Correct Answer: C

- (Topic 1)
The NPDB specifies the entities that are eligible to request information from the data bank, as well as the conditions under which requests are allowed. In general, entities that are eligible to request information from the NPDB include

1. A. medical malpractice insurers and the general public
2. B. medical malpractice insurers and professional societies that are screening applicants for membership
3. C. the general public and state licensing boards
4. D. state licensing boards and professional societies that are screening applicants for membership

Correct Answer: D

- (Topic 1)
From the following answer choices, choose the type of clause or provision described in this situation.
The Idlewilde Health Plan includes in its provider contracts a clause or provision that allows the terms of the contract to renew unchanged each year.

1. A. Cure provision
2. B. Hold-harmless provision
3. C. Evergreen clause
4. D. Exculpation clause

Correct Answer: C

- (Topic 2)
The Azure Health Plan strives to ensure for its plan members the best possible level of care from its providers. In order to maintain such high standards, Azure uses a variety of quantitative and qualitative (behavioral) measures to determine the effectiveness of its providers. Azure then compares the clinical and operational practices of its providers with those of other providers outside the network, with the goal of identifying and implementing the practices that lead to the best outcomes.
The comparative method of evaluation that Azure uses to identify and implement the practices that lead to the best outcomes is known as

1. A. Case mix analysis
2. B. Outcomes research
3. C. Benchmarking
4. D. Provider profiling

Correct Answer: C