今すぐブロガーになろう！
2015年02月06日
AHIPのAHM-540認定試験の最新教育資料の登場
弊社は君の試験に合格させるとともにまた一年の無料の更新のサービスも提供し、もし試験に失敗したら全額で返金いたします。しかしその可能性はほとんどありません。弊社は100%合格率を保証し、購入前にネットでダウンロードしてください。
Pass4Testについてどのくらい知っているのですか。Pass4TestのAHM-540試験問題集を利用したことがありますか。あるいは、知人からPass4Testを聞いたことがありますか。IT認定試験に関連する参考書のプロな提供者として、Pass4Testは間違いなくあなたが今まで見た最高のサイトです。なぜこのように確かめるのですか。それはPass4Testのように最良のAHM-540試験参考書を提供してあなたに試験に合格させるだけでなく、最高品質のサービスを提供してあなたに100％満足させることもできるサイトがないからです。
Pass4Testは AHIPのAHM-540認定試験の認証に対して特別な教育ツールで、あなたに多くの時間とお金が使わないようにIT技術にも身につけさせるサイトでございます。Pass4Testは専門家チームが自分の知識と経験をを利用してAHIPのAHM-540「Medical Management」認証試験の問題集を研究したものでございます。
あなたはインターネットでAHIPのAHM-540認証試験の練習問題と解答の試用版を無料でダウンロードしてください。そうしたらあなたはPass4Testが用意した問題集にもっと自信があります。早くPass4Testの問題集を君の手に入れましょう。
試験番号：AHM-540
試験科目：「Medical Management」
一年間無料で問題集をアップデートするサービスを提供いたします
最近更新時間：2015-02-05
問題と解答：全163問 AHM-540 日本語講座
>>詳しい紹介はこちら
購入前にお試し,私たちの試験の質問と回答のいずれかの無料サンプルをダウンロード：http://www.pass4test.jp/AHM-540.html
NO.1 For this question, if answer choices (A) through (C) are all correct, select answer choice (D).
Otherwise, select the one correct answer choice.
The QAPI (Quality Assessment Performance Improvement Program) is a Centers for Medicaid and
Medicare Services (CMS) initiative designed to strengthen health plans' efforts to protect and
improve the health and satisfaction of Medicare beneficiaries. QAPI quality assessment standards
apply to
A. standard medical-surgical services
B. mental health and substance abuse services
C. services offered to Medicare enrollees as optional supplementary benefits
D. all of the above
Answer: D
AHIP練習問題 AHM-540ソフトウエア AHM-540試合 AHM-540サンプル AHM-540出題範囲
NO.2 Since its inception, Medicare has undergone a number of changes because of legal and
regulatory action. One result of the Balanced Budget Act (BBA) of 1997 has been to
A. expand Medicare benefits by mandating coverage for certain preventive services
B. reduce the number of organizations that can deliver covered services
C. encourage growth of managed Medicare programs in all markets
D. increase the number of "zero premium" plans available to Medicare beneficiaries
Answer: A
AHIP試験スクール AHM-540 AHM-540書籍 AHM-540参考書勉強
NO.3 The paragraph below contains an incomplete statement. Select the answer choice containing
the term that correctly completes the paragraph.
Medical management programs often require the analysis of many types of data and information.
__________________ is an automated process that analyzes variables to help detect patterns and
relationships in the data.
A. Unbundling
B. Outsourcing
C. Data mining
D. Drilling down
Answer: C
AHIP AHM-540 AHM-540専門知識 AHM-540受験方法
NO.4 To see that utilization guidelines are consistently applied, UR programs rely on authorization
systems. Determine whether the following statement about authorization systems is true or false:
Only physicians can make nonauthorization decisions based on medical necessity.
A. True
B. False
Answer: A
AHIP教育資料 AHM-540認定デベロッパー AHM-540 AHM-540
NO.5 With respect to the activities of MCO medical directors, it is correct to say that medical
directors typically perform all of the following activities EXCEPT
A. maintaining clinical practices
B. delivering performance feedback to providers
C. participating in utilization management (UM) activities
D. educating other MCO staff about new clinical developments or provider innovations that might
impact clinical practice management
Answer: A
AHIP技術試験 AHM-540認定 AHM-540組織 AHM-540的中率 AHM-540 AHM-540
NO.6 Health plans communicate proposed performance changes through action statements. Select
the answer choice containing an action statement that includes all of the required elements.
A. The proportion of adult members who are screened for hypertension will increase by ten percent.
B. Primary care providers (PCPs) will increase the proportion of children under the age of two who
are up-to-date on immunizations by seven percent within one year.
C. The QM program director will evaluate the level of provider compliance with clinical practice
guidelines (CPGs).
D. The disease management program director will increase participation by asthmatic children in the
health plan's pediatric asthma disease management program.
Answer: B
AHIP特典 AHM-540エンジン AHM-540予想試験 AHM-540ブロンズ教材 AHM-540科目
NO.7 The following statements describe situations in which health plan members have medical
problems that require care. Select the statement that describes a situation in which self-care most
likely would not be appropriate.
A. Two days after bruising her leg, Avis Bennet notices that the pain from the bruise has increased
and that there are red streaks and swelling around the bruised area.
B. Calvin Dodd has Type II diabetes and requires blood glucose monitoring tests several times each
day.
C. Caroline Evans has severe arthritis that requires regular exercise and oral medication to reduce
pain and help her maintain mobility.
D. Oscar Gracken is recovering from a heart attack and requires ongoing cardiac rehabilitation.
Answer: A
AHIP組織 AHM-540教科書 AHM-540受験生 AHM-540 AHM-540 AHM-540
NO.8 To measure performance for quality management, health plans collect and analyze three types
of data: financial data, clinical data, and customer satisfaction data. The following statement(s) can
correctly be made about the sources of clinical data:
1.Patient surveys are the most widely used source of disease-specific clinical information
2.Outcomes research studies sponsored by academic institutions and professional organizations have
limited usefulness for particular health plans or individual providers
3.The SF-36 and the HSQ-39 (Health Status Questionnaire) surveys address both physical and mental
health status
A. All of the above
B. 1 and 2 only
C. 2 and 3 only
D. 3 only
Answer: C
AHIP合格点 AHM-540 AHM-540勉強法学校 AHM-540日本語 AHM-540
Pass4Testは最新のEX0-006試験問題集と高品質の100-500認定試験の問題と回答を提供します。Pass4Testの70-497 VCEテストエンジンと74-344試験ガイドはあなたが一回で試験に合格するのを助けることができます。高品質のPEGACBAV6.3トレーニング教材は、あなたがより迅速かつ簡単に試験に合格することを100％保証します。試験に合格して認証資格を取るのはそのような簡単なことです。
記事のリンク：http://www.pass4test.jp/AHM-540.html
Pass4Testについてどのくらい知っているのですか。Pass4TestのAHM-540試験問題集を利用したことがありますか。あるいは、知人からPass4Testを聞いたことがありますか。IT認定試験に関連する参考書のプロな提供者として、Pass4Testは間違いなくあなたが今まで見た最高のサイトです。なぜこのように確かめるのですか。それはPass4Testのように最良のAHM-540試験参考書を提供してあなたに試験に合格させるだけでなく、最高品質のサービスを提供してあなたに100％満足させることもできるサイトがないからです。
Pass4Testは AHIPのAHM-540認定試験の認証に対して特別な教育ツールで、あなたに多くの時間とお金が使わないようにIT技術にも身につけさせるサイトでございます。Pass4Testは専門家チームが自分の知識と経験をを利用してAHIPのAHM-540「Medical Management」認証試験の問題集を研究したものでございます。
あなたはインターネットでAHIPのAHM-540認証試験の練習問題と解答の試用版を無料でダウンロードしてください。そうしたらあなたはPass4Testが用意した問題集にもっと自信があります。早くPass4Testの問題集を君の手に入れましょう。
試験番号：AHM-540
試験科目：「Medical Management」
一年間無料で問題集をアップデートするサービスを提供いたします
最近更新時間：2015-02-05
問題と解答：全163問 AHM-540 日本語講座
>>詳しい紹介はこちら
購入前にお試し,私たちの試験の質問と回答のいずれかの無料サンプルをダウンロード：http://www.pass4test.jp/AHM-540.html
NO.1 For this question, if answer choices (A) through (C) are all correct, select answer choice (D).
Otherwise, select the one correct answer choice.
The QAPI (Quality Assessment Performance Improvement Program) is a Centers for Medicaid and
Medicare Services (CMS) initiative designed to strengthen health plans' efforts to protect and
improve the health and satisfaction of Medicare beneficiaries. QAPI quality assessment standards
apply to
A. standard medical-surgical services
B. mental health and substance abuse services
C. services offered to Medicare enrollees as optional supplementary benefits
D. all of the above
Answer: D
AHIP練習問題 AHM-540ソフトウエア AHM-540試合 AHM-540サンプル AHM-540出題範囲
NO.2 Since its inception, Medicare has undergone a number of changes because of legal and
regulatory action. One result of the Balanced Budget Act (BBA) of 1997 has been to
A. expand Medicare benefits by mandating coverage for certain preventive services
B. reduce the number of organizations that can deliver covered services
C. encourage growth of managed Medicare programs in all markets
D. increase the number of "zero premium" plans available to Medicare beneficiaries
Answer: A
AHIP試験スクール AHM-540 AHM-540書籍 AHM-540参考書勉強
NO.3 The paragraph below contains an incomplete statement. Select the answer choice containing
the term that correctly completes the paragraph.
Medical management programs often require the analysis of many types of data and information.
__________________ is an automated process that analyzes variables to help detect patterns and
relationships in the data.
A. Unbundling
B. Outsourcing
C. Data mining
D. Drilling down
Answer: C
AHIP AHM-540 AHM-540専門知識 AHM-540受験方法
NO.4 To see that utilization guidelines are consistently applied, UR programs rely on authorization
systems. Determine whether the following statement about authorization systems is true or false:
Only physicians can make nonauthorization decisions based on medical necessity.
A. True
B. False
Answer: A
AHIP教育資料 AHM-540認定デベロッパー AHM-540 AHM-540
NO.5 With respect to the activities of MCO medical directors, it is correct to say that medical
directors typically perform all of the following activities EXCEPT
A. maintaining clinical practices
B. delivering performance feedback to providers
C. participating in utilization management (UM) activities
D. educating other MCO staff about new clinical developments or provider innovations that might
impact clinical practice management
Answer: A
AHIP技術試験 AHM-540認定 AHM-540組織 AHM-540的中率 AHM-540 AHM-540
NO.6 Health plans communicate proposed performance changes through action statements. Select
the answer choice containing an action statement that includes all of the required elements.
A. The proportion of adult members who are screened for hypertension will increase by ten percent.
B. Primary care providers (PCPs) will increase the proportion of children under the age of two who
are up-to-date on immunizations by seven percent within one year.
C. The QM program director will evaluate the level of provider compliance with clinical practice
guidelines (CPGs).
D. The disease management program director will increase participation by asthmatic children in the
health plan's pediatric asthma disease management program.
Answer: B
AHIP特典 AHM-540エンジン AHM-540予想試験 AHM-540ブロンズ教材 AHM-540科目
NO.7 The following statements describe situations in which health plan members have medical
problems that require care. Select the statement that describes a situation in which self-care most
likely would not be appropriate.
A. Two days after bruising her leg, Avis Bennet notices that the pain from the bruise has increased
and that there are red streaks and swelling around the bruised area.
B. Calvin Dodd has Type II diabetes and requires blood glucose monitoring tests several times each
day.
C. Caroline Evans has severe arthritis that requires regular exercise and oral medication to reduce
pain and help her maintain mobility.
D. Oscar Gracken is recovering from a heart attack and requires ongoing cardiac rehabilitation.
Answer: A
AHIP組織 AHM-540教科書 AHM-540受験生 AHM-540 AHM-540 AHM-540
NO.8 To measure performance for quality management, health plans collect and analyze three types
of data: financial data, clinical data, and customer satisfaction data. The following statement(s) can
correctly be made about the sources of clinical data:
1.Patient surveys are the most widely used source of disease-specific clinical information
2.Outcomes research studies sponsored by academic institutions and professional organizations have
limited usefulness for particular health plans or individual providers
3.The SF-36 and the HSQ-39 (Health Status Questionnaire) surveys address both physical and mental
health status
A. All of the above
B. 1 and 2 only
C. 2 and 3 only
D. 3 only
Answer: C
AHIP合格点 AHM-540 AHM-540勉強法学校 AHM-540日本語 AHM-540
Pass4Testは最新のEX0-006試験問題集と高品質の100-500認定試験の問題と回答を提供します。Pass4Testの70-497 VCEテストエンジンと74-344試験ガイドはあなたが一回で試験に合格するのを助けることができます。高品質のPEGACBAV6.3トレーニング教材は、あなたがより迅速かつ簡単に試験に合格することを100％保証します。試験に合格して認証資格を取るのはそのような簡単なことです。
記事のリンク：http://www.pass4test.jp/AHM-540.html
2015年02月06日
AHIP AHM-250試験の認証資格は一層重要になった
Pass4Testの専門家チームがAHIPのAHM-250認証試験に対して最新の短期有効なトレーニングプログラムを研究しました。AHIPのAHM-250「Healthcare Management: An Introduction」認証試験に参加者に対して30時間ぐらいの短期の育成訓練でらくらくに勉強しているうちに多くの知識を身につけられます。
IT認定試験を受ける受験生はほとんど仕事をしている人です。試験に受かるために大量の時間とトレーニング費用を費やした受験生がたくさんいます。ここで我々は良い学習資料のウェブサイトをお勧めします。Pass4Testというサイトです。Pass4Testの AHIPのAHM-250試験資料を利用したら、時間を節約することができるようになります。我々はあなたに向いて適当の資料を選びます。しかも、サイトでテストデータの一部は無料です。もっと重要のことは、リアルな模擬練習はあなたがAHIPのAHM-250試験に受かることに大きな助けになれます。Pass4Test のAHIPのAHM-250試験資料はあなたに時間を節約させることができるだけではなく、あなたに首尾よく試験に合格させることもできますから、Pass4Testを選ばない理由はないです。
近年、IT技術の急速な発展に伴って、IT技術を勉強し始める人がますます多くなっています。そこで、IT業界で働く人も多くなっています。このように、IT業界の競争が一層激しくなります。同様にIT業界で働いていて、IT夢を持っているあなたは、きっと他の人にキャッチアップされ、追い抜かれることを望まないでしょう。それでは、ずっと自分自身のスキルをアップグレードすることが必要になり、他の人に自分の強さを証明する必要があります。では、どうやって自分の能力を証明するのですか。多くの人々はIT認定試験を受験して認証資格を取ることを通して彼らの強さを証明します。あなたもIT認証資格を取りたいですか。まずAHIPのAHM-250認定試験に合格しましょう。これはAHIPの最も重要な試験の一つで、業界全体に認証された資格です。
Pass4Testは多くの認証業界の評判を持っています。それは我々はAHIPのAHM-250問題集やAHM-250スタディガイドやAHM-250問題と解答がたくさんありますから。現在のサイトで最もプロなITテストベンダーとして我々は完璧なアフターサービスを提供します。全てのお客様に追跡サービスを差し上げますから、あなたが買ったあとの一年間で、弊社は全てのお客様に問題集のアップグレードを無料に提供します。その間で認定テストセンターのAHIPのAHM-250試験問題は修正とか表示されたら、無料にお客様に保護して差し上げます。AHIPのAHM-250試験問題集はPass4TestのIT領域の専門家が心を込めて研究したものですから、Pass4TestのAHIPのAHM-250試験資料を手に入れると、あなたが美しい明日を迎えることと信じています。
試験番号：AHM-250
試験科目：「Healthcare Management: An Introduction」
一年間無料で問題集をアップデートするサービスを提供いたします
最近更新時間：2015-02-05
問題と解答：全367問 AHM-250 試験対策
>>詳しい紹介はこちら
Pass4TestのAHM-250問題集はあなたが信じられないほどの的中率を持っています。この問題集は実際試験に出る可能性があるすべての問題を含んでいます。したがって、この問題集をまじめに勉強する限り、試験に合格することが朝飯前のことになることができます。AHIP試験の重要なの一環として、AHM-250認定試験はあなたに大きな恩恵を与えることができます。ですから、あなたを楽に試験に合格させる機会を逃してはいけません。Pass4Testは試験に失敗した場合は全額返金を約束しますから、AHM-250試験に合格することができるように、はやくPass4Testのウェブサイトに行ってもっと詳細な情報を読んでください。
AHIPのAHM-250認定試験は人気があるIT認証に属するもので、野心家としてのIT専門家の念願です。このような受験生はAHM-250認定試験で高い点数を取得して、自分の構成ファイルは市場の需要と互換性があるように充分な準備をするのは必要です。
Pass4TestのAHIPのAHM-250試験トレーニング資料はインターネットでの全てのトレーニング資料のリーダーです。Pass4Testはあなたが首尾よく試験に合格することを助けるだけでなく、あなたの知識と技能を向上させることもできます。あなたが自分のキャリアでの異なる条件で自身の利点を発揮することを助けられます。
購入前にお試し,私たちの試験の質問と回答のいずれかの無料サンプルをダウンロード：http://www.pass4test.jp/AHM-250.html
NO.1 The main purpose of the Health Plan Employer Data and Information Set (HEDIS) is to provide
A. expert consultation to end-users for solving specialized and complex healthcare problems through
the use of a knowledge-based computer system
B. a comprehensive accreditation for PPOs
C. measurements of plan performance and effectiveness that potential healthcare purchasers can use
to compare quality offered by different healthcare plans
D. a mathematical model that can predict future claim payments and premiums
Answer: C
AHIP出題範囲 AHM-250日本語版と英語版 AHM-250ソートキー AHM-250受験料 AHM-250種類
NO.2 Medicaid is a jointly funded federal and state program that provides hospital and medical
expense coverage to low-income individuals and certain aged and disabled individuals. One
characteristic of Medicaid is that
A. providers who care for Medicaid recipients must accept Medicaid payment as payment in full for
services rendered
B. Medicaid requires recipients to pay deductibles, copayments, and coinsurance amounts for all
services
C. Medicaid is always the primary payer of benefits
D. benefits offered by Medicaid programs are federally mandated and do not vary by state
Answer: A
AHIP AHM-250 AHM-250対象者
NO.3 Which of the following statements about the Title VII of the Civil Rights Act is WRONG?
A. Employers with more than 15 employees engaged in interstate commerce need to comply
B. Pregnancy Discrimination Act (an amendment to this act) requires health plans to provide
coverage during childbirth and related medical conditions on the same basis as they provide coverage
for other medical conditions
C. Allows HMOs to set different policies for people from different races, religions, sex or national
origin to safeguard their interests.
D. Protects all employees
Answer: C
AHIP試験解答 AHM-250 AHM-250トレーニング資料
NO.4 The Military Health System of the Department of Defense offers ongoing healthcare coverage
to military personnel and their families through the
A. Health Care Quality Improvement Program (HCQIP)
B. Health Plan Management System (HPMS)
C. TRICARE healthcare system
D. Health Care Prepayment Plan (HCPP)
Answer: C
AHIPコンポーネント AHM-250指導 AHM-250日本語サンプル AHM-250教育 AHM-250成果物
NO.5 Bill the member for the balance of the fee above the maximum allowable amount under the fee
schedule reimbursement method
A. UCR fee
B. Capitation fee
C. Balance bill
D. Discounted fee-for-service
Answer: C
AHIP AHM-250キャッシュ AHM-250 AHM-250おすすめ
NO.6 Which of the choices below contains the four tools used by marketers that make up the
'promotion mix'?
A. Advertising, personal selling, sales promotion, and publicity.
B. Advertising, price, sales promotion, and publicity.
C. Admissions, personal selling, sales promotion, and publicity.
D. Advertising, personal selling, sales promotion, and privacy.
Answer: A
AHIP AHM-250 AHM-250オンライン試験 AHM-250受験記 AHM-250受験方法 AHM-250練習
NO.7 Which of the following statements is true?
A. A declining economy can lead to lower healthcare costs as a result of an older population with
greater healthcare needs.
B. A larger patient population increases pressure on the health plan to offer larger panels.
C. Provider networks are not affected by the federal and state laws that apply to health plans
D. Network management standards established by independent accrediting organizations have no
influence on health plan network design.
Answer: B
AHIP虎の巻 AHM-250認証 AHM-250英語版
NO.8 The measures used to evaluate healthcare quality are generally divided into three categories:
process, structure, and outcomes. An example of a process measure that can be used to evaluate a
health plan's performance is the:
A. Percentage of adult plan members who receive regular medical checkups.
B. Number of plan members contracting an infection in the hospital.
C. Percentage of board certified physicians within the health plan's network.
D. Number of hospital admissions for plan members with certain medical conditions.
Answer: A
AHIP AHM-250オフィシャル AHM-250
Pass4Testは最新のHP2-N44試験問題集と高品質のM2020-622認定試験の問題と回答を提供します。Pass4Testの1z0-481 VCEテストエンジンとNS0-155試験ガイドはあなたが一回で試験に合格するのを助けることができます。高品質の050-SEPROGRC-01トレーニング教材は、あなたがより迅速かつ簡単に試験に合格することを100％保証します。試験に合格して認証資格を取るのはそのような簡単なことです。
記事のリンク：http://www.pass4test.jp/AHM-250.html
IT認定試験を受ける受験生はほとんど仕事をしている人です。試験に受かるために大量の時間とトレーニング費用を費やした受験生がたくさんいます。ここで我々は良い学習資料のウェブサイトをお勧めします。Pass4Testというサイトです。Pass4Testの AHIPのAHM-250試験資料を利用したら、時間を節約することができるようになります。我々はあなたに向いて適当の資料を選びます。しかも、サイトでテストデータの一部は無料です。もっと重要のことは、リアルな模擬練習はあなたがAHIPのAHM-250試験に受かることに大きな助けになれます。Pass4Test のAHIPのAHM-250試験資料はあなたに時間を節約させることができるだけではなく、あなたに首尾よく試験に合格させることもできますから、Pass4Testを選ばない理由はないです。
近年、IT技術の急速な発展に伴って、IT技術を勉強し始める人がますます多くなっています。そこで、IT業界で働く人も多くなっています。このように、IT業界の競争が一層激しくなります。同様にIT業界で働いていて、IT夢を持っているあなたは、きっと他の人にキャッチアップされ、追い抜かれることを望まないでしょう。それでは、ずっと自分自身のスキルをアップグレードすることが必要になり、他の人に自分の強さを証明する必要があります。では、どうやって自分の能力を証明するのですか。多くの人々はIT認定試験を受験して認証資格を取ることを通して彼らの強さを証明します。あなたもIT認証資格を取りたいですか。まずAHIPのAHM-250認定試験に合格しましょう。これはAHIPの最も重要な試験の一つで、業界全体に認証された資格です。
Pass4Testは多くの認証業界の評判を持っています。それは我々はAHIPのAHM-250問題集やAHM-250スタディガイドやAHM-250問題と解答がたくさんありますから。現在のサイトで最もプロなITテストベンダーとして我々は完璧なアフターサービスを提供します。全てのお客様に追跡サービスを差し上げますから、あなたが買ったあとの一年間で、弊社は全てのお客様に問題集のアップグレードを無料に提供します。その間で認定テストセンターのAHIPのAHM-250試験問題は修正とか表示されたら、無料にお客様に保護して差し上げます。AHIPのAHM-250試験問題集はPass4TestのIT領域の専門家が心を込めて研究したものですから、Pass4TestのAHIPのAHM-250試験資料を手に入れると、あなたが美しい明日を迎えることと信じています。
試験番号：AHM-250
試験科目：「Healthcare Management: An Introduction」
一年間無料で問題集をアップデートするサービスを提供いたします
最近更新時間：2015-02-05
問題と解答：全367問 AHM-250 試験対策
>>詳しい紹介はこちら
Pass4TestのAHM-250問題集はあなたが信じられないほどの的中率を持っています。この問題集は実際試験に出る可能性があるすべての問題を含んでいます。したがって、この問題集をまじめに勉強する限り、試験に合格することが朝飯前のことになることができます。AHIP試験の重要なの一環として、AHM-250認定試験はあなたに大きな恩恵を与えることができます。ですから、あなたを楽に試験に合格させる機会を逃してはいけません。Pass4Testは試験に失敗した場合は全額返金を約束しますから、AHM-250試験に合格することができるように、はやくPass4Testのウェブサイトに行ってもっと詳細な情報を読んでください。
AHIPのAHM-250認定試験は人気があるIT認証に属するもので、野心家としてのIT専門家の念願です。このような受験生はAHM-250認定試験で高い点数を取得して、自分の構成ファイルは市場の需要と互換性があるように充分な準備をするのは必要です。
Pass4TestのAHIPのAHM-250試験トレーニング資料はインターネットでの全てのトレーニング資料のリーダーです。Pass4Testはあなたが首尾よく試験に合格することを助けるだけでなく、あなたの知識と技能を向上させることもできます。あなたが自分のキャリアでの異なる条件で自身の利点を発揮することを助けられます。
購入前にお試し,私たちの試験の質問と回答のいずれかの無料サンプルをダウンロード：http://www.pass4test.jp/AHM-250.html
NO.1 The main purpose of the Health Plan Employer Data and Information Set (HEDIS) is to provide
A. expert consultation to end-users for solving specialized and complex healthcare problems through
the use of a knowledge-based computer system
B. a comprehensive accreditation for PPOs
C. measurements of plan performance and effectiveness that potential healthcare purchasers can use
to compare quality offered by different healthcare plans
D. a mathematical model that can predict future claim payments and premiums
Answer: C
AHIP出題範囲 AHM-250日本語版と英語版 AHM-250ソートキー AHM-250受験料 AHM-250種類
NO.2 Medicaid is a jointly funded federal and state program that provides hospital and medical
expense coverage to low-income individuals and certain aged and disabled individuals. One
characteristic of Medicaid is that
A. providers who care for Medicaid recipients must accept Medicaid payment as payment in full for
services rendered
B. Medicaid requires recipients to pay deductibles, copayments, and coinsurance amounts for all
services
C. Medicaid is always the primary payer of benefits
D. benefits offered by Medicaid programs are federally mandated and do not vary by state
Answer: A
AHIP AHM-250 AHM-250対象者
NO.3 Which of the following statements about the Title VII of the Civil Rights Act is WRONG?
A. Employers with more than 15 employees engaged in interstate commerce need to comply
B. Pregnancy Discrimination Act (an amendment to this act) requires health plans to provide
coverage during childbirth and related medical conditions on the same basis as they provide coverage
for other medical conditions
C. Allows HMOs to set different policies for people from different races, religions, sex or national
origin to safeguard their interests.
D. Protects all employees
Answer: C
AHIP試験解答 AHM-250 AHM-250トレーニング資料
NO.4 The Military Health System of the Department of Defense offers ongoing healthcare coverage
to military personnel and their families through the
A. Health Care Quality Improvement Program (HCQIP)
B. Health Plan Management System (HPMS)
C. TRICARE healthcare system
D. Health Care Prepayment Plan (HCPP)
Answer: C
AHIPコンポーネント AHM-250指導 AHM-250日本語サンプル AHM-250教育 AHM-250成果物
NO.5 Bill the member for the balance of the fee above the maximum allowable amount under the fee
schedule reimbursement method
A. UCR fee
B. Capitation fee
C. Balance bill
D. Discounted fee-for-service
Answer: C
AHIP AHM-250キャッシュ AHM-250 AHM-250おすすめ
NO.6 Which of the choices below contains the four tools used by marketers that make up the
'promotion mix'?
A. Advertising, personal selling, sales promotion, and publicity.
B. Advertising, price, sales promotion, and publicity.
C. Admissions, personal selling, sales promotion, and publicity.
D. Advertising, personal selling, sales promotion, and privacy.
Answer: A
AHIP AHM-250 AHM-250オンライン試験 AHM-250受験記 AHM-250受験方法 AHM-250練習
NO.7 Which of the following statements is true?
A. A declining economy can lead to lower healthcare costs as a result of an older population with
greater healthcare needs.
B. A larger patient population increases pressure on the health plan to offer larger panels.
C. Provider networks are not affected by the federal and state laws that apply to health plans
D. Network management standards established by independent accrediting organizations have no
influence on health plan network design.
Answer: B
AHIP虎の巻 AHM-250認証 AHM-250英語版
NO.8 The measures used to evaluate healthcare quality are generally divided into three categories:
process, structure, and outcomes. An example of a process measure that can be used to evaluate a
health plan's performance is the:
A. Percentage of adult plan members who receive regular medical checkups.
B. Number of plan members contracting an infection in the hospital.
C. Percentage of board certified physicians within the health plan's network.
D. Number of hospital admissions for plan members with certain medical conditions.
Answer: A
AHIP AHM-250オフィシャル AHM-250
Pass4Testは最新のHP2-N44試験問題集と高品質のM2020-622認定試験の問題と回答を提供します。Pass4Testの1z0-481 VCEテストエンジンとNS0-155試験ガイドはあなたが一回で試験に合格するのを助けることができます。高品質の050-SEPROGRC-01トレーニング教材は、あなたがより迅速かつ簡単に試験に合格することを100％保証します。試験に合格して認証資格を取るのはそのような簡単なことです。
記事のリンク：http://www.pass4test.jp/AHM-250.html
2015年02月05日
注目のAHIP AHM-520認定試験の資格を取得しよう
Pass4TestにIT業界のエリートのグループがあって、彼達は自分の経験と専門知識を使ってAHIP AHM-520認証試験に参加する方に対して問題集を研究続けています。君が後悔しないようにもっと少ないお金を使って大きな良い成果を取得するためにPass4Testを選択してください。Pass4Testはまた一年間に無料なサービスを更新いたします。
AHIPのAHM-520認定試験はPass4Testの最優秀な専門家チームが自分の知識と業界の経験を利用してどんどん研究した、満足AHIP認証受験生の需要に満たすの書籍がほかのサイトにも見えますが、Pass4Testの商品が最も保障があって、君の最良の選択になります。
AHM-520認定試験に関連する参考資料を提供できるサイトが多くあります。しかし、資料の品質が保証されることができません。それと同時に、あなたに試験に失敗すれば全額返金という保障を与えることもできません。普通の参考資料と比べて、Pass4TestのAHM-520問題集は最も利用に値するツールです。Pass4Testの指導を元にして、あなたは試験の準備を十分にすることができます。しかも、楽に試験に合格することができます。IT領域でより大きな進歩を望むなら、AHM-520認定試験を受験する必要があります。IT試験に順調に合格することを望むなら、Pass4TestのAHM-520問題集を使用する必要があります。
試験番号：AHM-520
試験科目：「Health Plan Finance and Risk Management」
一年間無料で問題集をアップデートするサービスを提供いたします
最近更新時間：2015-02-04
問題と解答：全215問 AHM-520 問題と解答
>>詳しい紹介はこちら
Pass4TestのAHIPのAHM-520試験トレーニング資料を手に入れたら、我々は一年間の無料更新サービスを提供します。それはあなたがいつでも最新の試験資料を持てるということです。試験の目標が変わる限り、あるいは我々の勉強資料が変わる限り、すぐに更新して差し上げます。あなたのニーズをよく知っていていますから、あなたに試験に合格する自信を与えます。
Pass4Testを選ぶかどうか状況があれば、弊社の無料なサンプルをダウンロードしてから、決めても大丈夫です。こうして、弊社の商品はどのくらいあなたの力になるのはよく分かっています。Pass4TestはAHIP AHM-520「Health Plan Finance and Risk Management」認証試験を助けって通じての最良の選択で、１００％のAHIP AHM-520認証試験合格率のはPass4Test最高の保証でございます。君が選んだのはPass4Test、成功を選択したのに等しいです。
Pass4Testは高品質の製品を提供するだけではなく、完全なアフターサービスも提供します。当社の製品を利用したら、一年間の無料更新サービスを提供します。しかも、速いスピードで受験生の皆様に提供して差し上げます。あなたがいつでも最新の試験資料を持っていることを保証します。
購入前にお試し,私たちの試験の質問と回答のいずれかの無料サンプルをダウンロード：http://www.pass4test.jp/AHM-520.html
NO.1 The Acorn Health Plan uses a resource-based relative value scale (RBRVS) to help determine the
reimbursement amounts that Acorn should make to providers who are compensated under an FFS
system. With regard to the advantages and disadvantages to Acorn of using RBRVS, it can correctly be
stated that
A. An advantage of using RBRVS is that it can assist Acorn in developing reimbursement schedules for
various types of providers in a comprehensive healthcare plan
B. An advantage of using RBRVS is that it puts providers who render more medical services than
necessary at financial risk for this overutilization
C. A disadvantage of using RBRVS is that it will be difficult for Acorn to track treatment rates for the
health plan's quality and cost management functions
D. A disadvantage of using RBRVS is that it rewards procedural healthcare services more than
cognitive healthcare services
Answer: A
試験番号 AHIP AHM-520 AHM-520 AHM-520初心者
NO.2 The Lindberg Company has decided to terminate its group healthcare coverage with the Benson
Health Plan. Lindberg has several former employees who previously experienced qualifying events
that caused them to lose their group coverage. One federal law allows these former employees to
continue their group healthcare coverage. From the answer choices below, select the response that
correctly identifies the federal law that grants these individuals with the right to continue group
healthcare coverage, as well as the entity which is responsible for continuing this coverage:
A. Federal law: Consolidated Omnibus Budget Reconciliation Act (COBRA) Entity: Lindberg
B. Federal law: Consolidated Omnibus Budget Reconciliation Act (COBRA) Entity: Benson
C. Federal law: Employee Retirement Income Security Act (ERISA) Entity: Lindberg
D. Federal law: Employee Retirement Income Security Act (ERISA) Entity: Benson
Answer: A
AHIP試験内容 AHM-520合格点 AHM-520番号 AHM-520試験解答
NO.3 Several federal agencies establish rules and requirements that affect health plans. One of these
agencies is the Department of Labor (DOL), which is primarily responsible for _________.
A. Issuing regulations pertaining to the Health Insurance Portability and Accountability Act (HIPAA) of
1996
B. Administering the Medicare and Medicaid programs
C. Administering ERISA, which imposes various documentation, appeals, reporting, and disclosure
requirements on employer group health plans
D. Administering the Federal Employees Health BenefitsProgram (FEHBP), which providesvoluntary
health insurance coverage to federal employees, retirees, and dependents
Answer: C
AHIP一番 AHM-520試験感想 AHM-520 AHM-520
NO.4 An investor deposited $1,000 in an interest-bearing account today. That sum will accumulate to
$1,200 two years from now. One true statement about this transaction is that:
A. The process by which the original $1,000 deposit grows to $1,200 is known as compounding
B. $1,200 is the present value of the $1,000 deposit
C. The $200 increase in the deposit's value is its incremental cash flow
D. The $200 difference between the original deposit and the accumulated value of the deposit is
known as the deposit's discount
Answer: A
AHIP信頼度 AHM-520コマンド AHM-520教育 AHM-520関節
NO.5 The following information was presented on one of the financial statements prepared by the
Rouge health plan as of December 31, 1998:
When calculating its cash-to-claims payable ratio, Rouge would correctly divide its:
A. Cash by its reported claims only
B. Cash by its reported claims and its incurred but not reported claims (IBNR)
C. Reported claims by its cash
D. Reported claims and its incurred but not reported claims (IBNR) by its cash
Answer: B
AHIP模擬練習 AHM-520口コミ AHM-520サービス AHM-520
NO.6 The provider contract that Dr. Timothy Meyer, a pediatrician, has with the Cardigan health
plan states that Cardigan will compensate him under a capitation arrangement. However, the
contract also includes a typical low enrollment guarantee provision. Statements that can correctly be
made about this arrangement include that the low enrollment guarantee provision most likely:
A. Causes Dr. Meyer's capitation contract with Cardigan to transfer more risk to him than the
contract otherwise would transfer
B. Specifies that Cardigan will pay Dr. Meyer under an arrangement other than capitation until a
specified number of children covered by the plan use him as their PCP
C. Both A and B
D. A only
E. B only
F. Neither A nor B
Answer: C
AHIP模擬モード AHM-520ワークスペース AHM-520ソフト版 AHM-520 AHM-520試験内容
NO.7 Federal law addresses the relationship between Medicare- or Medicaidcontracting health plans
and providers who are at "substantial financial risk."
Under federal law, Medicare- or Medicaid-contracting health plans
A. Place a provider at "substantial risk" whenever incentive arrangements put the provider at risk for
amounts in excess of 10% of his or her total potential reimbursement for providing services to
Medicare and Medicaid enrollees
B. Must provide stop-loss coverage to a provider who is placed at "substantial financial risk" for
services that the provider does not directly provide to Medicare or Medicaid enrollees
C. Both A and B
D. A only
E. B only
F. Neither A nor B
Answer: C
AHIP AHM-520体験 AHM-520 AHM-520 AHM-520スキル
NO.8 A health plan can use segment margins to evaluate the profitability of its profit centers. One
characteristic of a segment margin is that this margin
A. Is the portion of the contribution margin that remains after a segment has covered its direct fixed
costs
B. Incorporates only the costs attributable to a segment, but it does not incorporate revenues
C. Considers only a segment's costs that fluctuate in direct proportion to changes in the segment's
level of operating activity
D. Evaluates the profit center's effective use of assets employed to earn a profit
Answer: A
AHIP信頼度 AHM-520ガイド AHM-520試験過去問 AHM-520科目 AHM-520試験情報
Pass4Testは最新の1Y0-351試験問題集と高品質の9A0-281認定試験の問題と回答を提供します。Pass4Testの70-489 VCEテストエンジンとAHM-540試験ガイドはあなたが一回で試験に合格するのを助けることができます。高品質のP2090-054トレーニング教材は、あなたがより迅速かつ簡単に試験に合格することを100％保証します。試験に合格して認証資格を取るのはそのような簡単なことです。
記事のリンク：http://www.pass4test.jp/AHM-520.html
AHIPのAHM-520認定試験はPass4Testの最優秀な専門家チームが自分の知識と業界の経験を利用してどんどん研究した、満足AHIP認証受験生の需要に満たすの書籍がほかのサイトにも見えますが、Pass4Testの商品が最も保障があって、君の最良の選択になります。
AHM-520認定試験に関連する参考資料を提供できるサイトが多くあります。しかし、資料の品質が保証されることができません。それと同時に、あなたに試験に失敗すれば全額返金という保障を与えることもできません。普通の参考資料と比べて、Pass4TestのAHM-520問題集は最も利用に値するツールです。Pass4Testの指導を元にして、あなたは試験の準備を十分にすることができます。しかも、楽に試験に合格することができます。IT領域でより大きな進歩を望むなら、AHM-520認定試験を受験する必要があります。IT試験に順調に合格することを望むなら、Pass4TestのAHM-520問題集を使用する必要があります。
試験番号：AHM-520
試験科目：「Health Plan Finance and Risk Management」
一年間無料で問題集をアップデートするサービスを提供いたします
最近更新時間：2015-02-04
問題と解答：全215問 AHM-520 問題と解答
>>詳しい紹介はこちら
Pass4TestのAHIPのAHM-520試験トレーニング資料を手に入れたら、我々は一年間の無料更新サービスを提供します。それはあなたがいつでも最新の試験資料を持てるということです。試験の目標が変わる限り、あるいは我々の勉強資料が変わる限り、すぐに更新して差し上げます。あなたのニーズをよく知っていていますから、あなたに試験に合格する自信を与えます。
Pass4Testを選ぶかどうか状況があれば、弊社の無料なサンプルをダウンロードしてから、決めても大丈夫です。こうして、弊社の商品はどのくらいあなたの力になるのはよく分かっています。Pass4TestはAHIP AHM-520「Health Plan Finance and Risk Management」認証試験を助けって通じての最良の選択で、１００％のAHIP AHM-520認証試験合格率のはPass4Test最高の保証でございます。君が選んだのはPass4Test、成功を選択したのに等しいです。
Pass4Testは高品質の製品を提供するだけではなく、完全なアフターサービスも提供します。当社の製品を利用したら、一年間の無料更新サービスを提供します。しかも、速いスピードで受験生の皆様に提供して差し上げます。あなたがいつでも最新の試験資料を持っていることを保証します。
購入前にお試し,私たちの試験の質問と回答のいずれかの無料サンプルをダウンロード：http://www.pass4test.jp/AHM-520.html
NO.1 The Acorn Health Plan uses a resource-based relative value scale (RBRVS) to help determine the
reimbursement amounts that Acorn should make to providers who are compensated under an FFS
system. With regard to the advantages and disadvantages to Acorn of using RBRVS, it can correctly be
stated that
A. An advantage of using RBRVS is that it can assist Acorn in developing reimbursement schedules for
various types of providers in a comprehensive healthcare plan
B. An advantage of using RBRVS is that it puts providers who render more medical services than
necessary at financial risk for this overutilization
C. A disadvantage of using RBRVS is that it will be difficult for Acorn to track treatment rates for the
health plan's quality and cost management functions
D. A disadvantage of using RBRVS is that it rewards procedural healthcare services more than
cognitive healthcare services
Answer: A
試験番号 AHIP AHM-520 AHM-520 AHM-520初心者
NO.2 The Lindberg Company has decided to terminate its group healthcare coverage with the Benson
Health Plan. Lindberg has several former employees who previously experienced qualifying events
that caused them to lose their group coverage. One federal law allows these former employees to
continue their group healthcare coverage. From the answer choices below, select the response that
correctly identifies the federal law that grants these individuals with the right to continue group
healthcare coverage, as well as the entity which is responsible for continuing this coverage:
A. Federal law: Consolidated Omnibus Budget Reconciliation Act (COBRA) Entity: Lindberg
B. Federal law: Consolidated Omnibus Budget Reconciliation Act (COBRA) Entity: Benson
C. Federal law: Employee Retirement Income Security Act (ERISA) Entity: Lindberg
D. Federal law: Employee Retirement Income Security Act (ERISA) Entity: Benson
Answer: A
AHIP試験内容 AHM-520合格点 AHM-520番号 AHM-520試験解答
NO.3 Several federal agencies establish rules and requirements that affect health plans. One of these
agencies is the Department of Labor (DOL), which is primarily responsible for _________.
A. Issuing regulations pertaining to the Health Insurance Portability and Accountability Act (HIPAA) of
1996
B. Administering the Medicare and Medicaid programs
C. Administering ERISA, which imposes various documentation, appeals, reporting, and disclosure
requirements on employer group health plans
D. Administering the Federal Employees Health BenefitsProgram (FEHBP), which providesvoluntary
health insurance coverage to federal employees, retirees, and dependents
Answer: C
AHIP一番 AHM-520試験感想 AHM-520 AHM-520
NO.4 An investor deposited $1,000 in an interest-bearing account today. That sum will accumulate to
$1,200 two years from now. One true statement about this transaction is that:
A. The process by which the original $1,000 deposit grows to $1,200 is known as compounding
B. $1,200 is the present value of the $1,000 deposit
C. The $200 increase in the deposit's value is its incremental cash flow
D. The $200 difference between the original deposit and the accumulated value of the deposit is
known as the deposit's discount
Answer: A
AHIP信頼度 AHM-520コマンド AHM-520教育 AHM-520関節
NO.5 The following information was presented on one of the financial statements prepared by the
Rouge health plan as of December 31, 1998:
When calculating its cash-to-claims payable ratio, Rouge would correctly divide its:
A. Cash by its reported claims only
B. Cash by its reported claims and its incurred but not reported claims (IBNR)
C. Reported claims by its cash
D. Reported claims and its incurred but not reported claims (IBNR) by its cash
Answer: B
AHIP模擬練習 AHM-520口コミ AHM-520サービス AHM-520
NO.6 The provider contract that Dr. Timothy Meyer, a pediatrician, has with the Cardigan health
plan states that Cardigan will compensate him under a capitation arrangement. However, the
contract also includes a typical low enrollment guarantee provision. Statements that can correctly be
made about this arrangement include that the low enrollment guarantee provision most likely:
A. Causes Dr. Meyer's capitation contract with Cardigan to transfer more risk to him than the
contract otherwise would transfer
B. Specifies that Cardigan will pay Dr. Meyer under an arrangement other than capitation until a
specified number of children covered by the plan use him as their PCP
C. Both A and B
D. A only
E. B only
F. Neither A nor B
Answer: C
AHIP模擬モード AHM-520ワークスペース AHM-520ソフト版 AHM-520 AHM-520試験内容
NO.7 Federal law addresses the relationship between Medicare- or Medicaidcontracting health plans
and providers who are at "substantial financial risk."
Under federal law, Medicare- or Medicaid-contracting health plans
A. Place a provider at "substantial risk" whenever incentive arrangements put the provider at risk for
amounts in excess of 10% of his or her total potential reimbursement for providing services to
Medicare and Medicaid enrollees
B. Must provide stop-loss coverage to a provider who is placed at "substantial financial risk" for
services that the provider does not directly provide to Medicare or Medicaid enrollees
C. Both A and B
D. A only
E. B only
F. Neither A nor B
Answer: C
AHIP AHM-520体験 AHM-520 AHM-520 AHM-520スキル
NO.8 A health plan can use segment margins to evaluate the profitability of its profit centers. One
characteristic of a segment margin is that this margin
A. Is the portion of the contribution margin that remains after a segment has covered its direct fixed
costs
B. Incorporates only the costs attributable to a segment, but it does not incorporate revenues
C. Considers only a segment's costs that fluctuate in direct proportion to changes in the segment's
level of operating activity
D. Evaluates the profit center's effective use of assets employed to earn a profit
Answer: A
AHIP信頼度 AHM-520ガイド AHM-520試験過去問 AHM-520科目 AHM-520試験情報
Pass4Testは最新の1Y0-351試験問題集と高品質の9A0-281認定試験の問題と回答を提供します。Pass4Testの70-489 VCEテストエンジンとAHM-540試験ガイドはあなたが一回で試験に合格するのを助けることができます。高品質のP2090-054トレーニング教材は、あなたがより迅速かつ簡単に試験に合格することを100％保証します。試験に合格して認証資格を取るのはそのような簡単なことです。
記事のリンク：http://www.pass4test.jp/AHM-520.html
2015年02月04日
AHIP AHM-530認定試験に一発合格できる問題集
Pass4Testは専門的なIT認証サイトで、成功率が１００パーセントです。これは多くの受験生に証明されたことです。Pass4TestにはIT専門家が組み立てられた団体があります。彼らは受験生の皆さんの重要な利益が保障できるように専門的な知識と豊富な経験を活かして特別に適用性が強いトレーニング資料を研究します。その資料が即ちAHIPのAHM-530試験トレーニング資料で、問題集と解答に含まれていますから。
人々はそれぞれ自分の人生計画があります。違った選択をしたら違った結果を取得しますから、選択は非常に重要なことです。Pass4TestのAHIPのAHM-530試験トレーニング資料はIT職員が自分の高い目標を達成することを助けます。この資料は問題と解答に含まれていて、実際の試験問題と殆ど同じで、最高のトレーニング資料とみなすことができます。
Pass4TestはたくさんIT関連認定試験の受験者に利便性を提供して、多くの人がPass4Testの問題集を使うので試験に合格しますた。彼らはPass4Testの問題集が有効なこと確認しました。Pass4Testが提供しておりますのは専門家チームの研究した問題と真題で弊社の高い名誉はたぶり信頼をうけられます。安心で弊社の商品を使うために無料なサンブルをダウンロードしてください。
最もリラックスした状態ですべての苦難に直面しています。AHIPのAHM-530「Network Management」試験はとても難しいですが、受験生の皆がリラックスした状態で試験を受けるべきです。。Pass4TestのAHIPのAHM-530試験トレーニング資料は私達を助けられます。Pass4Testがそばにいてくれると、恐くなくなり、迷わなくなります。Pass4TestのAHIPのAHM-530試験トレーニング資料は私達受験生の最良の選択です。
試験番号：AHM-530
試験科目：「Network Management」
一年間無料で問題集をアップデートするサービスを提供いたします
最近更新時間：2015-02-03
問題と解答：全202問 AHM-530 資格問題集
>>詳しい紹介はこちら
購入前にお試し,私たちの試験の質問と回答のいずれかの無料サンプルをダウンロード：http://www.pass4test.jp/AHM-530.html
NO.1 The Portway Hospital is qualified to receive Medicaid subsidy payments as a disproportionate
share hospital (DHS). The DHS payments that Portway receives are
A. Made for services rendered to specific patients
B. Made with matching state and federal funds
C. Included in the Medicaid capitation payment made to patients' health plans
D. Defined as cost-based reimbursement (CBR) equal to 100% of Portway's reasonable costs of
providing services to Medicaid recipients
Answer: B
AHIP攻略 AHM-530実際試験 AHM-530信頼度 AHM-530独学書籍
NO.2 The provider contract that the Canyon health plan has with Dr. Nicole Enberg specifies that she
cannot sue or file any claims against a Canyon plan member for covered services, even if Canyon
becomes insolvent or fails to meet its financial obligations. The contract also specifies that Canyon
will compensate her under a typical discounted fee-for-service (DFFS) payment system.
During its recredentialing of Dr. Enberg, Canyon developed a report that helped the health plan
determine how well she met Canyon's standards. The report included cumulative performance data
for Dr. Enberg and encompassed all measurable aspects of her performance. This report included
such information as the number of hospital admissions Dr. Enberg had and the number of referrals
she made outside of Canyon's provider network during a specified period. Canyon also used process
measures, structural measures, and outcomes measures to evaluate Dr. Enberg's performance.
Canyon used a process measure to evaluate the performance of Dr. Enberg when it evaluated
whether:
A. Dr. Enberg's young patients receive appropriate immunizations at the right ages
B. Dr. Enberg's young patients receive appropriate immunizations at the right ages
C. The condition of one of Dr. Enberg's patients improved after the patient received medical
treatment from Dr. Enberg
D. Dr. Enberg's procedures are adequate for ensuring patients' access to medical care
Answer: A
AHIPおすすめ AHM-530改訂 AHM-530キャッシュ AHM-530体験
NO.3 The Bruin Health Plan is a Social Health Maintenance Organization (SHMO). As an SHMO, Bruin:
A. Must provide Medicare participants with standard HMO benefits, as well as with limited long-term
care benefits
B. Does not need as great a variety of provider types or as complex a reimbursement method as does
a traditional HMO
C. Receives a payment that is based on reasonable costs and reasonable charges
D. Most likely provides fewer supportive services than does a traditional HMO, because one of Bruin's
goals is to minimize the use of community-based care
Answer: A
AHIP教育 AHM-530変更 AHM-530
NO.4 Health plans typically conduct two types of reviews of a provider's medical records: an
evaluation of the provider's medical record keeping (MRK) practices and a medical record review
(MRR). One true statement about these types of reviews is that:
A. An MRK covers the content of specific patient records of a provider.
B. The NCQA requires an examination of MRK with all of a health plan's office evaluations.
C. An MRR includes a review of the policies, procedures, and documentation standards the provider
follows to create and maintain medical records.
D. The NCQA requires MRR for both credentialing and recredentialing of providers in a health plan's
network.
Answer: A
AHIP練習 AHM-530 AHM-530試験感想 AHM-530合格
NO.5 The Adobe Health Plan complies with all of the provisions of the Newborns' and Mothers'
Health Protection Act (NMHPA) of 1996. Kristen Netzger, an Adobe enrollee, was hospitalized for a
cesarean delivery. Amy Davis, also an Adobe enrollee, was hospitalized for a normal delivery. From
the following answer choices, select the response that indicates the minimum length of time for
which Adobe, under NMHPA, most likely must provide benefits for the hospitalizations of Ms.
Netzger and Ms. Davis.
A. Ms. Netzger = 48 hours Ms. Davis = 48 hours
B. Ms. Netzger = 72 hours Ms. Davis = 72 hours
C. Ms. Netzger = 96 hours Ms. Davis = 48 hours
D. Ms. Netzger = 96 hours Ms. Davis = 72 hours
Answer: C
AHIP特典 AHM-530好評 AHM-530 AHM-530出題範囲 AHM-530開発入門 AHM-530模擬試験
NO.6 Under the compensation arrangement that the Falcon Health Plan has with some of its
providers, Falcon holds back 10% of the negotiated payments to these providers in order to offset or
pay for any claims that exceed the budgeted costs for referral or hospital services. If the providers
keep costs within the budgeted amount, Falcon distributes to them the entire amount of money held
back. This way of motivating providers to control costs while providing high-quality, appropriate care
is known as a:
A. Risk pool arrangement
B. Withhold arrangement
C. Cost-shifting arrangement
D. Bonus pool arrangement
Answer: B
AHIP価値 AHM-530無料更新 AHM-530試合 AHM-530専門知識
NO.7 With respect to contractual provisions related to provider-patient communications,
nonsolicitation clauses prohibit providers from
A. Encouraging patients to switch from one health plan to another
B. Disclosing confidential information about the health plan's reimbursement structure
C. Dispersing confidential financial information regarding the health plan
D. Discussing alternative treatment plans with patients
Answer: A
AHIP復習資料 AHM-530成果物 AHM-530ラーニング AHM-530参考書勉強
NO.8 With regard to the compensation of dental care providers in a managed dental care system, it is
correct to state that, typically:
A. dental PPOs compensate dentists on a capitated basis
B. group model dental HMOs (DHMOs) compensate general dental practitioners on a salaried basis
C. independent practice association (IPA)-model dental HMOs (DHMOs) capitate general dental
practitioners
D. staff model dental HMOs (DHMOs) compensate dentists on an FFS basis
Answer: C
AHIP試験準備 AHM-530独学書籍 AHM-530会場 AHM-530 AHM-530認定
Pass4Testは最新のHP0-Y49試験問題集と高品質のMB5-858認定試験の問題と回答を提供します。Pass4TestのVCAW510 VCEテストエンジンとP2040-060試験ガイドはあなたが一回で試験に合格するのを助けることができます。高品質のC_HANAIMP141トレーニング教材は、あなたがより迅速かつ簡単に試験に合格することを100％保証します。試験に合格して認証資格を取るのはそのような簡単なことです。
記事のリンク：http://www.pass4test.jp/AHM-530.html
人々はそれぞれ自分の人生計画があります。違った選択をしたら違った結果を取得しますから、選択は非常に重要なことです。Pass4TestのAHIPのAHM-530試験トレーニング資料はIT職員が自分の高い目標を達成することを助けます。この資料は問題と解答に含まれていて、実際の試験問題と殆ど同じで、最高のトレーニング資料とみなすことができます。
Pass4TestはたくさんIT関連認定試験の受験者に利便性を提供して、多くの人がPass4Testの問題集を使うので試験に合格しますた。彼らはPass4Testの問題集が有効なこと確認しました。Pass4Testが提供しておりますのは専門家チームの研究した問題と真題で弊社の高い名誉はたぶり信頼をうけられます。安心で弊社の商品を使うために無料なサンブルをダウンロードしてください。
最もリラックスした状態ですべての苦難に直面しています。AHIPのAHM-530「Network Management」試験はとても難しいですが、受験生の皆がリラックスした状態で試験を受けるべきです。。Pass4TestのAHIPのAHM-530試験トレーニング資料は私達を助けられます。Pass4Testがそばにいてくれると、恐くなくなり、迷わなくなります。Pass4TestのAHIPのAHM-530試験トレーニング資料は私達受験生の最良の選択です。
試験番号：AHM-530
試験科目：「Network Management」
一年間無料で問題集をアップデートするサービスを提供いたします
最近更新時間：2015-02-03
問題と解答：全202問 AHM-530 資格問題集
>>詳しい紹介はこちら
購入前にお試し,私たちの試験の質問と回答のいずれかの無料サンプルをダウンロード：http://www.pass4test.jp/AHM-530.html
NO.1 The Portway Hospital is qualified to receive Medicaid subsidy payments as a disproportionate
share hospital (DHS). The DHS payments that Portway receives are
A. Made for services rendered to specific patients
B. Made with matching state and federal funds
C. Included in the Medicaid capitation payment made to patients' health plans
D. Defined as cost-based reimbursement (CBR) equal to 100% of Portway's reasonable costs of
providing services to Medicaid recipients
Answer: B
AHIP攻略 AHM-530実際試験 AHM-530信頼度 AHM-530独学書籍
NO.2 The provider contract that the Canyon health plan has with Dr. Nicole Enberg specifies that she
cannot sue or file any claims against a Canyon plan member for covered services, even if Canyon
becomes insolvent or fails to meet its financial obligations. The contract also specifies that Canyon
will compensate her under a typical discounted fee-for-service (DFFS) payment system.
During its recredentialing of Dr. Enberg, Canyon developed a report that helped the health plan
determine how well she met Canyon's standards. The report included cumulative performance data
for Dr. Enberg and encompassed all measurable aspects of her performance. This report included
such information as the number of hospital admissions Dr. Enberg had and the number of referrals
she made outside of Canyon's provider network during a specified period. Canyon also used process
measures, structural measures, and outcomes measures to evaluate Dr. Enberg's performance.
Canyon used a process measure to evaluate the performance of Dr. Enberg when it evaluated
whether:
A. Dr. Enberg's young patients receive appropriate immunizations at the right ages
B. Dr. Enberg's young patients receive appropriate immunizations at the right ages
C. The condition of one of Dr. Enberg's patients improved after the patient received medical
treatment from Dr. Enberg
D. Dr. Enberg's procedures are adequate for ensuring patients' access to medical care
Answer: A
AHIPおすすめ AHM-530改訂 AHM-530キャッシュ AHM-530体験
NO.3 The Bruin Health Plan is a Social Health Maintenance Organization (SHMO). As an SHMO, Bruin:
A. Must provide Medicare participants with standard HMO benefits, as well as with limited long-term
care benefits
B. Does not need as great a variety of provider types or as complex a reimbursement method as does
a traditional HMO
C. Receives a payment that is based on reasonable costs and reasonable charges
D. Most likely provides fewer supportive services than does a traditional HMO, because one of Bruin's
goals is to minimize the use of community-based care
Answer: A
AHIP教育 AHM-530変更 AHM-530
NO.4 Health plans typically conduct two types of reviews of a provider's medical records: an
evaluation of the provider's medical record keeping (MRK) practices and a medical record review
(MRR). One true statement about these types of reviews is that:
A. An MRK covers the content of specific patient records of a provider.
B. The NCQA requires an examination of MRK with all of a health plan's office evaluations.
C. An MRR includes a review of the policies, procedures, and documentation standards the provider
follows to create and maintain medical records.
D. The NCQA requires MRR for both credentialing and recredentialing of providers in a health plan's
network.
Answer: A
AHIP練習 AHM-530 AHM-530試験感想 AHM-530合格
NO.5 The Adobe Health Plan complies with all of the provisions of the Newborns' and Mothers'
Health Protection Act (NMHPA) of 1996. Kristen Netzger, an Adobe enrollee, was hospitalized for a
cesarean delivery. Amy Davis, also an Adobe enrollee, was hospitalized for a normal delivery. From
the following answer choices, select the response that indicates the minimum length of time for
which Adobe, under NMHPA, most likely must provide benefits for the hospitalizations of Ms.
Netzger and Ms. Davis.
A. Ms. Netzger = 48 hours Ms. Davis = 48 hours
B. Ms. Netzger = 72 hours Ms. Davis = 72 hours
C. Ms. Netzger = 96 hours Ms. Davis = 48 hours
D. Ms. Netzger = 96 hours Ms. Davis = 72 hours
Answer: C
AHIP特典 AHM-530好評 AHM-530 AHM-530出題範囲 AHM-530開発入門 AHM-530模擬試験
NO.6 Under the compensation arrangement that the Falcon Health Plan has with some of its
providers, Falcon holds back 10% of the negotiated payments to these providers in order to offset or
pay for any claims that exceed the budgeted costs for referral or hospital services. If the providers
keep costs within the budgeted amount, Falcon distributes to them the entire amount of money held
back. This way of motivating providers to control costs while providing high-quality, appropriate care
is known as a:
A. Risk pool arrangement
B. Withhold arrangement
C. Cost-shifting arrangement
D. Bonus pool arrangement
Answer: B
AHIP価値 AHM-530無料更新 AHM-530試合 AHM-530専門知識
NO.7 With respect to contractual provisions related to provider-patient communications,
nonsolicitation clauses prohibit providers from
A. Encouraging patients to switch from one health plan to another
B. Disclosing confidential information about the health plan's reimbursement structure
C. Dispersing confidential financial information regarding the health plan
D. Discussing alternative treatment plans with patients
Answer: A
AHIP復習資料 AHM-530成果物 AHM-530ラーニング AHM-530参考書勉強
NO.8 With regard to the compensation of dental care providers in a managed dental care system, it is
correct to state that, typically:
A. dental PPOs compensate dentists on a capitated basis
B. group model dental HMOs (DHMOs) compensate general dental practitioners on a salaried basis
C. independent practice association (IPA)-model dental HMOs (DHMOs) capitate general dental
practitioners
D. staff model dental HMOs (DHMOs) compensate dentists on an FFS basis
Answer: C
AHIP試験準備 AHM-530独学書籍 AHM-530会場 AHM-530 AHM-530認定
Pass4Testは最新のHP0-Y49試験問題集と高品質のMB5-858認定試験の問題と回答を提供します。Pass4TestのVCAW510 VCEテストエンジンとP2040-060試験ガイドはあなたが一回で試験に合格するのを助けることができます。高品質のC_HANAIMP141トレーニング教材は、あなたがより迅速かつ簡単に試験に合格することを100％保証します。試験に合格して認証資格を取るのはそのような簡単なことです。
記事のリンク：http://www.pass4test.jp/AHM-530.html
2015年02月04日
AHIPのAHM-510認定試験の一番新しい問題集の登場
Pass4Testは最高な品質で最速なスピードでAHIPのAHM-510認定試験の資料を更新するサイトでございます。もしかすると君はほかのサイトもAHIPのAHM-510認証試験に関する資料があるのを見つけた、比較したらPass4Testが提供したのがいちばん全面的で品質が最高なことがわかりました。
AHIP AHM-510「Governance and Regulation」認証試験に合格することが簡単ではなくて、AHIP AHM-510証明書は君にとってはIT業界に入るの一つの手づるになるかもしれません。しかし必ずしも大量の時間とエネルギーで復習しなくて、弊社が丹精にできあがった問題集を使って、試験なんて問題ではありません。
試験番号：AHM-510
試験科目：「Governance and Regulation」
一年間無料で問題集をアップデートするサービスを提供いたします
最近更新時間：2015-02-03
問題と解答：全76問 AHM-510 日本語版と英語版
>>詳しい紹介はこちら
あなたの予算が限られている場合に完全な問題集を必要としたら、Pass4TestのAHIPのAHM-510試験トレーニング資料を試してみてください。Pass4TestはあなたのIT認証試験の護衛になれて、現在インターネットで一番人気があるトレーニング資料が提供されたサイトです。AHIPのAHM-510試験はあなたのキャリアのマイルストーンで、競争が激しいこの時代で、これまで以上に重要になりました。あなたは一回で気楽に試験に合格することを保証します。将来で新しいチャンスを作って、仕事が楽しげにやらせます。Pass4Testの値段よりそれが創造する価値ははるかに大きいです。
今の社会の中で、ネット上で訓練は普及して、弊社は試験問題集を提供する多くのネットの一つでございます。Pass4Testが提供したのオンライン商品がIT業界では品質の高い学習資料、受験生の必要が満足できるサイトでございます。
Pass4Testは受験者に向かって試験について問題を解決する受験資源を提供するサービスのサイトで、さまざまな受験生によって別のトレーニングコースを提供いたします。受験者はPass4Testを通って順調に試験に合格する人がとても多くなのでPass4TestがIT業界の中で高い名声を得ました。
多くのIT業界の友達によるとAHIP認証試験を準備することが多くの時間とエネルギーをかからなければなりません。もし訓練班とオンライン研修などのルートを通じないと試験に合格するのが比較的に難しい、一回に合格率非常に低いです。Pass4Testはもっとも頼られるトレーニングツールで、AHIPのAHM-510認定試験の実践テストソフトウェアを提供したり、AHIPのAHM-510認定試験の練習問題と解答もあって、最高で最新なAHIPのAHM-510認定試験「Governance and Regulation」問題集も一年間に更新いたします。
IT認証試験に合格したい受験生の皆さんはきっと試験の準備をするために大変悩んでいるでしょう。しかし準備しなければならないのですから、落ち着かない心理になりました。しかし、Pass4TestのAHIPのAHM-510トレーニング資料を利用してから、その落ち着かない心はなくなった人がたくさんいます。Pass4TestのAHIPのAHM-510トレーニング資料を持っていたら、自信を持つようになります。試験に合格しない心配する必要がないですから、気楽に試験を受けることができます。これは心のヘルプだけではなく、試験に合格することで、明るい明日を持つこともできるようになります。
購入前にお試し,私たちの試験の質問と回答のいずれかの無料サンプルをダウンロード：http://www.pass4test.jp/AHM-510.html
NO.1 The Balanced Budget Act (BBA) of 1997 created the Medicare+Choice plan. One provision of the
BBA under Medicare+Choice is that the BBA
A. Requires health plans to qualify as either a competitive medical plan (CMP) or a federally qualified
HMO in order to participate in the Medicare program
B. Eliminates funding for demonstration projects such as the Medicare Enrollment Demonstration
Project
C. Narrows the geographic variations in payments to Medicare health plans by lowering the growth
rate of payments in high-payment counties and raising the rates in low-payment counties
D. Increases Graduate Medical Education (GME) payments to hospitals for the training and cost of
educating and training residents
Answer: C
AHIP研修 AHM-510 AHM-510対象者 AHM-510模擬
NO.2 Arthur Dace, a plan member of the Bloom Health Plan, tried repeatedly over an extended
period to schedule an appointment with Dr. Pyle, his primary care physician (PCP). Mr. Dace
informally surveyed other Bloom plan members and found that many people were experiencing
similar problems getting an appointment with this particular provider. Mr. Dace threatened to take
legal action against Bloom, alleging that the health plan had deliberately allowed a large number of
patients to select Dr. Pyle as their PCP, thus making it difficult for patients to make appointments
with Dr. Pyle.
Bloom recommended, and Mr. Dace agreed to use, an alternative dispute resolution (ADR) method
that is quicker and less expensive than litigation. Under this ADR method, both Bloom and Mr. Dace
presented their evidence to a panel of medical and legal experts, who issued a decision that Bloom's
utilization management practices in this case did not constitute a form of abuse. The panel's decision
is legally binding on both parties.
This information indicates that Bloom resolved its dispute with Mr. Dace by using an ADR method
known as:
A. Corporate risk management
B. An ombudsman program
C. An ethics committee
D. Arbitration
Answer: D
AHIP再テスト AHM-510資格トレーニング AHM-510信頼度 AHM-510番号 AHM-510トレーニング費用
NO.3 After conducting a business portfolio analysis, the Acorn Health Plan decided to pursue a
harvest strategy with one of its strategic business units (SBUs)-Guest Behavioral Healthcare. By
following a harvest strategy with Guest, Acorn most likely is seeking to
A. Maximize Guest's short-term earnings and cash flow
B. Increase Guest's market share
C. Maintain Guest's market position
D. Sacrifice immediate earnings in order to fund Guest's growth
Answer: A
AHIP AHM-510 AHM-510 AHM-510日本語
NO.4 In the paragraph below, a statement contains two pairs of terms enclosed in parentheses.
Determine which term in each pair correctly completes the statement. Then select the answer choice
containing the two terms that you have chosen.
One type of acquisition is called a stock purchase. In a typical stock purchase, a company acquires
(51% / 100%) of the voting shares of another company's stock, thereby making the acquired company
a subsidiary. The (acquired / acquiring) company holds all of the assets and liabilities of the acquired
company.
A. 51% / acquired
B. 51% / acquiring
C. 100% / acquired
D. 100% / acquiring
Answer: C
AHIP受験料 AHM-510受験記 AHM-510試験時間 AHM-510オンライン試験
NO.5 The Tidewater Life and Health Insurance Company is owned by its policy owners, who are
entitled to certain rights as owners of the company, and it issues both participating and
nonparticipating insurance policies. Tidewater is considering converting to the type of company that
is owned by individuals who purchase shares of the company's stock. Tidewater is incorporated
under the laws of Illinois, but it conducts business in the Canadian provinces of Ontario and
Manitoba.
Tidewater established the Diversified Corporation, which then acquired various subsidiary firms that
produce unrelated products and services. Tidewater remains an independent corporation and
continues to own Diversified and the subsidiaries. In order to create and maintain a common vision
and goals among the subsidiaries, the management of Diversified makes decisions about strategic
planning and budgeting for each of the businesses.
In order to become the type of company that is owned by people who purchase shares of the
company's stock, Tidewater must undergo a process known as
A. management buy-out
B. piercing the corporate veil
C. demutualization
D. mutualization
Answer: C
AHIP日本語サンプル AHM-510赤本 AHM-510対策 AHM-510学習指導
NO.6 Health plans are allowed to appeal rules or regulations that affect them. Generally, the grounds
for such appeals are limited either to procedural grounds or jurisdictional grounds. The Kabyle Health
Plan appealed the following new regulations:
Appeal 1 - Kabyle objected to this regulation on the ground that this regulation is inconsistent with
the law.
Appeal 2 - Kabyle objected to this regulation because it believed that the subject matter was outside
the realm of issues that are legal for inclusion in the regulatory agency's regulations.
Appeal 3 - Kabyle objected to the process by which this regulation was adopted.
Of these appeals, the ones that Kabyle appealed on jurisdictional grounds were
A. Appeals 1, 2, and 3
B. Appeals 1 and 2 only
C. Appeals 1 and 3 only
D. Appeals 2 and 3 only
Answer: B
AHIP AHM-510資格 AHM-510復習資料 AHM-510特典 AHM-510問題と解答
NO.7 Third party administrators (TPAs) provide various administrative services to health plans or
groups that provide health benefit plans to their employees or members. Many state laws that
regulate TPAs are based on the NAIC Third Party Administrator Model Statute. One provision of the
TPA Model Law is that it
A. Prohibits TPAs from performing insurance functions such as underwriting and claims processing
B. Prohibits TPAs from entering into an agreement under which the amount of the TPA's
compensation is based on the amount of premium or charges the TPA collects
C. Requires TPAs, upon the termination of a TPA agreement with a group, to immediately transfer all
its records relating to the group to the new administrator
D. Requires TPAs to notify the state insurance department immediately following any material
change in the TPA's ownership or control
Answer: D
AHIP改訂 AHM-510 AHM-510
NO.8 Regulators of health plans have set standards in a number of areas of plan operations.
Requirements with which health plans must comply typically include
A. providing enrollees and prospective enrollees with detailed information about various aspects of
health plan policies and operations
B. maintaining internal grievance and appeals processes to resolve enrollee complaints against the
organization
C. maintaining quality assurance programs that reflect the plan's activities in monitoring quality
D. all of the above
Answer: D
AHIP AHM-510受験記 AHM-510無料 AHM-510認定試験
Pass4Testは最新のNS0-155試験問題集と高品質のVCP-510認定試験の問題と回答を提供します。Pass4Testの100-101 VCEテストエンジンと350-018試験ガイドはあなたが一回で試験に合格するのを助けることができます。高品質のM6040-424トレーニング教材は、あなたがより迅速かつ簡単に試験に合格することを100％保証します。試験に合格して認証資格を取るのはそのような簡単なことです。
記事のリンク：http://www.pass4test.jp/AHM-510.html
AHIP AHM-510「Governance and Regulation」認証試験に合格することが簡単ではなくて、AHIP AHM-510証明書は君にとってはIT業界に入るの一つの手づるになるかもしれません。しかし必ずしも大量の時間とエネルギーで復習しなくて、弊社が丹精にできあがった問題集を使って、試験なんて問題ではありません。
試験番号：AHM-510
試験科目：「Governance and Regulation」
一年間無料で問題集をアップデートするサービスを提供いたします
最近更新時間：2015-02-03
問題と解答：全76問 AHM-510 日本語版と英語版
>>詳しい紹介はこちら
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Pass4Testは受験者に向かって試験について問題を解決する受験資源を提供するサービスのサイトで、さまざまな受験生によって別のトレーニングコースを提供いたします。受験者はPass4Testを通って順調に試験に合格する人がとても多くなのでPass4TestがIT業界の中で高い名声を得ました。
多くのIT業界の友達によるとAHIP認証試験を準備することが多くの時間とエネルギーをかからなければなりません。もし訓練班とオンライン研修などのルートを通じないと試験に合格するのが比較的に難しい、一回に合格率非常に低いです。Pass4Testはもっとも頼られるトレーニングツールで、AHIPのAHM-510認定試験の実践テストソフトウェアを提供したり、AHIPのAHM-510認定試験の練習問題と解答もあって、最高で最新なAHIPのAHM-510認定試験「Governance and Regulation」問題集も一年間に更新いたします。
IT認証試験に合格したい受験生の皆さんはきっと試験の準備をするために大変悩んでいるでしょう。しかし準備しなければならないのですから、落ち着かない心理になりました。しかし、Pass4TestのAHIPのAHM-510トレーニング資料を利用してから、その落ち着かない心はなくなった人がたくさんいます。Pass4TestのAHIPのAHM-510トレーニング資料を持っていたら、自信を持つようになります。試験に合格しない心配する必要がないですから、気楽に試験を受けることができます。これは心のヘルプだけではなく、試験に合格することで、明るい明日を持つこともできるようになります。
購入前にお試し,私たちの試験の質問と回答のいずれかの無料サンプルをダウンロード：http://www.pass4test.jp/AHM-510.html
NO.1 The Balanced Budget Act (BBA) of 1997 created the Medicare+Choice plan. One provision of the
BBA under Medicare+Choice is that the BBA
A. Requires health plans to qualify as either a competitive medical plan (CMP) or a federally qualified
HMO in order to participate in the Medicare program
B. Eliminates funding for demonstration projects such as the Medicare Enrollment Demonstration
Project
C. Narrows the geographic variations in payments to Medicare health plans by lowering the growth
rate of payments in high-payment counties and raising the rates in low-payment counties
D. Increases Graduate Medical Education (GME) payments to hospitals for the training and cost of
educating and training residents
Answer: C
AHIP研修 AHM-510 AHM-510対象者 AHM-510模擬
NO.2 Arthur Dace, a plan member of the Bloom Health Plan, tried repeatedly over an extended
period to schedule an appointment with Dr. Pyle, his primary care physician (PCP). Mr. Dace
informally surveyed other Bloom plan members and found that many people were experiencing
similar problems getting an appointment with this particular provider. Mr. Dace threatened to take
legal action against Bloom, alleging that the health plan had deliberately allowed a large number of
patients to select Dr. Pyle as their PCP, thus making it difficult for patients to make appointments
with Dr. Pyle.
Bloom recommended, and Mr. Dace agreed to use, an alternative dispute resolution (ADR) method
that is quicker and less expensive than litigation. Under this ADR method, both Bloom and Mr. Dace
presented their evidence to a panel of medical and legal experts, who issued a decision that Bloom's
utilization management practices in this case did not constitute a form of abuse. The panel's decision
is legally binding on both parties.
This information indicates that Bloom resolved its dispute with Mr. Dace by using an ADR method
known as:
A. Corporate risk management
B. An ombudsman program
C. An ethics committee
D. Arbitration
Answer: D
AHIP再テスト AHM-510資格トレーニング AHM-510信頼度 AHM-510番号 AHM-510トレーニング費用
NO.3 After conducting a business portfolio analysis, the Acorn Health Plan decided to pursue a
harvest strategy with one of its strategic business units (SBUs)-Guest Behavioral Healthcare. By
following a harvest strategy with Guest, Acorn most likely is seeking to
A. Maximize Guest's short-term earnings and cash flow
B. Increase Guest's market share
C. Maintain Guest's market position
D. Sacrifice immediate earnings in order to fund Guest's growth
Answer: A
AHIP AHM-510 AHM-510 AHM-510日本語
NO.4 In the paragraph below, a statement contains two pairs of terms enclosed in parentheses.
Determine which term in each pair correctly completes the statement. Then select the answer choice
containing the two terms that you have chosen.
One type of acquisition is called a stock purchase. In a typical stock purchase, a company acquires
(51% / 100%) of the voting shares of another company's stock, thereby making the acquired company
a subsidiary. The (acquired / acquiring) company holds all of the assets and liabilities of the acquired
company.
A. 51% / acquired
B. 51% / acquiring
C. 100% / acquired
D. 100% / acquiring
Answer: C
AHIP受験料 AHM-510受験記 AHM-510試験時間 AHM-510オンライン試験
NO.5 The Tidewater Life and Health Insurance Company is owned by its policy owners, who are
entitled to certain rights as owners of the company, and it issues both participating and
nonparticipating insurance policies. Tidewater is considering converting to the type of company that
is owned by individuals who purchase shares of the company's stock. Tidewater is incorporated
under the laws of Illinois, but it conducts business in the Canadian provinces of Ontario and
Manitoba.
Tidewater established the Diversified Corporation, which then acquired various subsidiary firms that
produce unrelated products and services. Tidewater remains an independent corporation and
continues to own Diversified and the subsidiaries. In order to create and maintain a common vision
and goals among the subsidiaries, the management of Diversified makes decisions about strategic
planning and budgeting for each of the businesses.
In order to become the type of company that is owned by people who purchase shares of the
company's stock, Tidewater must undergo a process known as
A. management buy-out
B. piercing the corporate veil
C. demutualization
D. mutualization
Answer: C
AHIP日本語サンプル AHM-510赤本 AHM-510対策 AHM-510学習指導
NO.6 Health plans are allowed to appeal rules or regulations that affect them. Generally, the grounds
for such appeals are limited either to procedural grounds or jurisdictional grounds. The Kabyle Health
Plan appealed the following new regulations:
Appeal 1 - Kabyle objected to this regulation on the ground that this regulation is inconsistent with
the law.
Appeal 2 - Kabyle objected to this regulation because it believed that the subject matter was outside
the realm of issues that are legal for inclusion in the regulatory agency's regulations.
Appeal 3 - Kabyle objected to the process by which this regulation was adopted.
Of these appeals, the ones that Kabyle appealed on jurisdictional grounds were
A. Appeals 1, 2, and 3
B. Appeals 1 and 2 only
C. Appeals 1 and 3 only
D. Appeals 2 and 3 only
Answer: B
AHIP AHM-510資格 AHM-510復習資料 AHM-510特典 AHM-510問題と解答
NO.7 Third party administrators (TPAs) provide various administrative services to health plans or
groups that provide health benefit plans to their employees or members. Many state laws that
regulate TPAs are based on the NAIC Third Party Administrator Model Statute. One provision of the
TPA Model Law is that it
A. Prohibits TPAs from performing insurance functions such as underwriting and claims processing
B. Prohibits TPAs from entering into an agreement under which the amount of the TPA's
compensation is based on the amount of premium or charges the TPA collects
C. Requires TPAs, upon the termination of a TPA agreement with a group, to immediately transfer all
its records relating to the group to the new administrator
D. Requires TPAs to notify the state insurance department immediately following any material
change in the TPA's ownership or control
Answer: D
AHIP改訂 AHM-510 AHM-510
NO.8 Regulators of health plans have set standards in a number of areas of plan operations.
Requirements with which health plans must comply typically include
A. providing enrollees and prospective enrollees with detailed information about various aspects of
health plan policies and operations
B. maintaining internal grievance and appeals processes to resolve enrollee complaints against the
organization
C. maintaining quality assurance programs that reflect the plan's activities in monitoring quality
D. all of the above
Answer: D
AHIP AHM-510受験記 AHM-510無料 AHM-510認定試験
Pass4Testは最新のNS0-155試験問題集と高品質のVCP-510認定試験の問題と回答を提供します。Pass4Testの100-101 VCEテストエンジンと350-018試験ガイドはあなたが一回で試験に合格するのを助けることができます。高品質のM6040-424トレーニング教材は、あなたがより迅速かつ簡単に試験に合格することを100％保証します。試験に合格して認証資格を取るのはそのような簡単なことです。
記事のリンク：http://www.pass4test.jp/AHM-510.html
