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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
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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2
Question
The statements below describe technology used by two MCOs to respond to incoming telephone calls:

-The Morton MCO uses an automated system that answers telephone calls with recorded or
synthesized speech and prompts the caller to respond to a menu of opt
Options
A Both Morton's system and Autumn's device are applications of computer/telephony integration (CTI).
B Morton's system can be correctly characterized as an expert system.
C Autumn's device is best described as an interactive voice response (IVR) system.
D Morton's system is best described as an automatic call distributor (ACD).
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3
Question
In the paragraph below, a sentence contains two pairs of words enclosed in parentheses. Determine

which word in each pair correctly completes the sentence. Then select the answer choice containing the two words that you have chosen. Many pharmacy benefit
Options
A Generic / always
B Therapeutic / never
C Therapeutic / always
D Generic / never
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4
Question
The following organizations are the primary sources of accreditation of healthcare organizations:
Options
A A only
B American Accreditation HealthCare Commission/URAC Of these organizations, performance data is included i
C A and B
D B only
E National Committee for Quality Assurance (NCQA)
F none of the above
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5
Question
The Fairway Health Group contracted with the Empire Corporation to provide behavioral healthcare services to Empire employees. As a condition of providing behavioral healthcare services, Fairway required Empire to contract with Fairway for basic medical s
Options
A price-fixing agreement
B tying arrangement
C horizontal group boycott
D horizontal division of markets
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