AHIP AHM-250 Exam Practice Questions (P. 2)

According to the IRS, which of the following is not an allowable preventive care service?

After a somewhat modest start in 2004, enrollment in HSA-related health plans more than tripled in 2005, making them today’s fastest growing type of CDHP. As of January 2006, enrollment in HSAs had reached nearly:

Al Marak, a member of the Frazier Health Plan, has asked for a typical Level One appeal of a decision that Frazier made regarding Mr. Marak's coverage. One true statement about this Level One appeal is that:

All CDHP products provide federal tax advantages while allowing consumers to save money for their healthcare.

All good Medical, Inc., a health plan, has contracted with Mercy Memorial Hospital to provide inpatient medical services to Allgood's plan members. The terms of the contract specify that Allgood will reimburse Mercy Memorial on the basis of a negotiated charge for each inpatient day allocated to one of its members. This negotiated charge represents a percentage discount that increases as patient volume increases. In this situation, the type of compensation agreement between Allgood and Mercy Memorial is best identified as a:

Although the process is voluntary for health plans, external accreditation is becoming more and more important as states and purchasers require health plans undergo some type of external review process. This process:

Amendments to the HMO act 1973 do not permit federally qualified HMO’s to use

An exclusive provider organization (EPO) operates much like a PPO. However, one difference between an EPO and a PPO is that an EPO

An HMO that combines characteristics of two or more HMO models is sometimes referred to as a

Appropriateness of treatment provided is determined by developing criteria that if unmet will prompt further investigation of a claim which are also called: