iPass4sure.net

Certification Practice Test | PDF Questions | Actual Questions | Test Engine | Pass4Sure

AHM-540 : AHM Medical Management Exam

Medical AHM-540 Questions & Answers

Full Version: 163 Q&A


Latest AHM-540 Exam Questions and Practice Tests 2025 - Killexams.com


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: Fanny*****

With killexams.com’s help, I passed the AHM-540 exam with an impressive 98% score. The testprep materials were accurate and relevant, covering topics that appeared on the exam. Even questions that seemed tricky were manageable because of the clear explanations in their study guide, ensuring my certification success.
User: Verna*****

Even after failing the ahm-540 exam on my first attempt, I persevered with killexams.com’s practice tests and a trusted study book. The second time, I passed with a strong score, thanks to their accurate practice questions that mirrored the actual exam format. The materials kept me organized and focused, and I am grateful for killexams.com’s exceptional support.
User: Tassy*****

Killexams.com is the best IT exam preparation platform I have encountered, with an intuitive exam simulator and comprehensive practice tests. Their materials made preparing for the AHM-540 exam straightforward, and I passed with confidence after a great experience.
User: Myra*****

I was amazed by how well Killexams.com prepared me for the ahm-540 exam. The exam simulator was incredibly realistic, and the questions matched what appeared on the actual test. Even the trickiest topics became manageable with their clear explanations. This is the only resource I needed to succeed.
User: Martha*****

Investing in killexams.com’s AHM-540 testprep practice test was a wise decision, despite my reluctance to buy study materials. The high-stakes exam justified the cost, and their valid questions and accurate answers, confirmed by friends, led to an easy pass. I recommend their platform to all candidates.

Features of iPass4sure AHM-540 Exam

  • Files: PDF / Test Engine
  • Premium Access
  • Online Test Engine
  • Instant download Access
  • Comprehensive Q&A
  • Success Rate
  • Real Questions
  • Updated Regularly
  • Portable Files
  • Unlimited Download
  • 100% Secured
  • Confidentiality: 100%
  • Success Guarantee: 100%
  • Any Hidden Cost: $0.00
  • Auto Recharge: No
  • Updates Intimation: by Email
  • Technical Support: Free
  • PDF Compatibility: Windows, Android, iOS, Linux
  • Test Engine Compatibility: Mac / Windows / Android / iOS / Linux

Premium PDF with 163 Q&A

Get Full Version

All Medical Exams

Medical Exams

Certification and Entry Test Exams

Complete exam list