AHM-250 무료 덤프문제 온라인 액세스

IROs stands for

• A.None of the above
• B.Internal Review Organizations
• C.International review Organizations
• D.Independent review organizations

Flexible Spending Accounts (FSAs) can be established by

• A.The employer alone
• B.By both the employer & the employee
• C.Self - employed individuals
• D.The employee alone

One true statement about community rating, a rating method commonly used by health plans, is that:

• A.It tends to lead to greater fluctuations in premium rates than do other rating methods.
• B.A health plan seldom uses community rating to set premiums for large groups.
• C.It requires a health plan to set premiums for financing medical care according to the health plan's expected cost of providing medical benefits to a sub-group within the community.
• D.A health plan usually uses community rating to set premiums for large groups.

As part of its utilization management (UM) system, the Poplar MCO uses a process known as case management. The following statements describe individuals who are Poplar plan members:
- Brad Van Note, age 28, is taking many different, costly medications for

• A.Mr. Van Note and Mr. Albrecht only
• B.Mr. Van Note and Ms. Cromartie only
• C.Mr. Van Note, Mr. Albrecht, and Ms. Cromartie
• D.Mr. Albrecht and Ms. Cromartie only

The following organizations are the primary sources of accreditation of healthcare organizations:

• A.A and B
• B.National Committee for Quality Assurance (NCQA)
• C.A only
• D.B only
• E.American Accreditation HealthCare Commission/URAC Of these organizations, performance data is included i
• F.none of the above