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Healthcare Management: An Introduction (AHM-250) - AHIP Exam Questions

Last updated on June 20, 2026

97% Exam Compliance
367 Total Questions
1
Question
The Oriole MCO uses a typical diagnosis-related groups (DRGs) payment method to reimburse the Isle Hospital for its treatment of Oriole members. Under the DRG payment method, whenever an Oriole member is hospitalized at Isle, Oriole pays Isle
Options
A a fixed rate based on average expected use of hospital resources in a given geographical area for that DRG
B a specific negotiated amount for each day the Oriole member is hospitalized
C an amount based on the weighted value of each medical procedure or service that Isle provides,
and the weighted value is determined by the appropriate current procedural terminology (CPT) code
for the procedure or service
D a retrospective reimbursement based on the actual costs of the Oriole member's hospitalization
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2
Question
Maternity management programs are commonly included in?
Options
A Health promotion Programs
B Screening Programs
C Immunization programs
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3
Question
The situation wherein two hospitals agree to each refuse to contract with a health plan until the health plan cease contract negotiations with a competing hospital is known as
Options
A Tying arrangements
B Price fixing
C Horizontal division of markets
D Horizontal group boycott
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4
Question
HMOs typically employ several techniques to manage provider utilization and member utilization of medical services. One technique that an HMO uses to manage member utilization is
Options
A the requirement of copayments for office visits
B risk pools
C the use of physician practice guidelines
D capitation
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5
Question
The Koster Company plans to purchase a health plan for its employees from Intuitive HMO. Intuitive will administer the plan and will bear the responsibility of guaranteeing claim payments by paying all incurred covered benefits. Koster will pay for the he
Options
A stop-loss plan
B self-funded plan
C fully funded plan
D self-pay plan
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