Latest AHM-540 Practice Tests with Actual Questions

Get Complete pool of questions with Premium PDF and Test Engine

Exam Code : AHM-540
Exam Name : AHM Medical Management
Vendor Name :
"Medical"

Download Full Version of AHM-540

---

AHM-540 Dumps AHM-540 Braindumps

AHM-540 Real Questions AHM-540 Practice Test AHM-540 Actual Questions

killexams.com

Medical

AHM-540

AHM Medical Management

https://killexams.com/pass4sure/exam-detail/AHM-540

Question: 155

The following statements are about chronic and disabling conditions among children eligible for Medicaid. Three of the statements are true and one is false. Select the answer choice containing the FALSE statement.

1. Children with chronic conditions use more physician and nonphysician professional services than do children in the general population.

2. The majority of chronic conditions affecting children in Medicaid programs are the same as those affecting children in the general population.

3. Medicaid-eligible children are at risk for seriousmental and physical conditions.

4. Children in Medicaid programs have a higher incidence of chronic disabling conditions than do children in the general population.

Answer: B

Question: 156

Determine whether the following statement is true or false:

The key to successfully managing the quality and cost-effectiveness of healthcare services for Medicaid enrollees is to merge Medicaid recipients into existing plans.

1. True

2. False

Answer: B

Question: 157

Access to services is an important issue for both fee-for-service (FFS) Medicaid and managed Medicaid programs. Access to services under managed Medicaid is affected by the

1. lack of qualified providers in provider networks

2. lack of resources necessary to establish case management programs for patients with complex conditions

3. unstable eligibility status of Medicaid recipients

4. inability of Medicaid recipients to change health plans or PCPs

   
   

   
   
   Answer: C

   
   

   
   Question: 158

   The following statement(s) can correctly be made about medical management considerations for the Federal Employee Health Benefits Program (FEHBP):

   1. FEHBP plan members who have exhausted the health plan’s usual appeals process for a disputed decision can request an independent review by the Office of Personnel Management (OPM)

   2. All health plans that cover federal employees are required to develop and implement patient safety initiatives

      
      

      1. Both 1 and 2

      2. 1 only

      3. 2 only

      4. Neither 1 nor 2

Answer: A

Question: 159

Serena Wilson, a registered nurse, is employed at a TRICARE Service Center (TSC) located at a military installation. Ms. Wilson serves as a primary point of contact between enrollees and the TRICARE system and answers enrollees’ questions about plan options, eligibility, provider selection, and claims. This information indicates that Ms. Wilson serves as a

1. lead agent

2. beneficiary services representative

3. health plan support contractor

4. primary care manager (PCM)

Answer: B

Question: 160

The paragraph below contains two pairs of terms or phrases enclosed in parentheses. Select the term or phrase in each pair that correctly completes the paragraph. Then select the answer choice containing the two terms or phrases you have chosen.

TRICARE enrollees have the right to challenge authorization and coverage decisions. Such challenges are referred to as (appeals / grievances) and are typically handled by the (TRICARE contractor / Area Field Office).

1. appeals / TRICARE contractor

2. appeals / Area Field Office

3. grievances / TRICARE contractor

4. grievances / Area Field Office

Answer: A

Question: 161

The delivery of quality, cost-effective healthcare is a primary goal of both group healthcare and workers’ compensation programs. One difference between group healthcare and workers’ compensation is that workers’ compensation

1. provides health and disability benefits to employees injured on the job only if the employer is at fault for the injury

2. provides coverage for a variety of direct and indirect healthcare, disability, and workplace costs

3. manages costs by including employee cost-sharing features in its benefit design

4. places limits on benefits by restricting the amount of benefit payments or the number of covered hospital days or provider office visits

Answer: B

Question: 162

For this question, if answer choices (A) through (C) are all correct, select answer choice (D). Otherwise, select the one correct answer choice.

Ways that workers’ compensation health plans can help control the costs of job-related injuries and illnesses include

1. applying strict definitions of medical necessity

2. developing prevention and recovery programs

3. applying out-of-network benefit reductions

4. all of the above

Answer: B

Question: 163

Occasionally, employers combine workers’ compensation, group healthcare, and disability

programs into an integrated product known as 24-hour coverage. One true statement about 24- hour coverage is that it typically

1. increases administrative costs

2. requires plans to maintain separate databases of patient care information

3. exempts plans from complying with state workers’ compensation regulations

4. allows plans to apply disability management and return-to-work techniques to nonoccupational conditions

Answer: D

User: Gaspar***** I never expected that the issues I had always avoided could be so enjoyable to test. The simple and concise method of purchasing study materials made my preparation much less stressful and helped me achieve a score of 89%. Thanks to the killexams.com practice test, I not only passed but excelled on my exam.

User: Ksenia***** I achieved excellent results with the package from killexams.com. The questions were correct, and I scored a maximum on the exam. I recommended it to my colleagues, and they all passed their tests, including the Cisco, Microsoft, and VMware exams. I have not heard any negative feedback about Killexams, so it must be the best online IT training available.

User: Neia***** killexams.com played a crucial role in my success on the ahm-540 exam. Although I failed the exam the first time around, their questions and answers exam practice tests were a game-changer for me. The materials were easy to understand, and even as a slow learner, I was able to keep up with the content. I passed the exam with an 89% score and felt elated. I would like to express my gratitude to Killexams for providing such an excellent resource for exam preparation.

User: Mikhail***** As an IT professional, I find it challenging to prepare for the AHM-540 certification exam due to my busy work schedule. However, Killexams.com Questions and Answers practice tests helped me prepare for the exam. I was surprised by how quickly I was able to complete all the questions. The questions were straightforward, and the reference guide was excellent. I scored 939 marks on the AHM-540 certification exam, which was a great achievement for me. I am grateful to Killexams.com for their support.

User: Zhenya***** When I decided to take the AHM-540 exam, Killexams.com provided me with reliable and valid practice training, which helped me perform well. I was allowed to test myself before the exam, which made me more confident about my preparation. Thanks to Killexams.com, I scored well on the exam.

---