AHM-250 AHIP Exam Questions and Free Practice Test

Question 25

- (Topic 3)
Keith Murray is a 45 year old chartered accountant & is employed in Livingstone consultancy firm. He has been paying payroll taxes for the past 15 years. Which of the following statements is true regarding Medicare Part A entitlement?

A. Keith shall be entitled to Part A benefits when he attains 65 years of age

B. Keith’s wife shall be entitled to Part A benefits when she attains 65 years of age

C. Keith’s wife shall be required to pay a monthly premium in order to receive Medicare Part A benefits

D. Both a & b

Correct Answer:D

Question 26

- (Topic 2)
Member satisfaction is a critical element of a health plan's quality management program. A health plan can obtain information about member satisfaction with various aspects of the
health plan from

A. surveys completed by members following a visit to a provider

B. surveys sent to plan members who have not received healthcare services during a specified time period

C. periodic reports of complaints received by member services personnel

D. all of the above

Correct Answer:D

Question 27

- (Topic 2)
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

A. horizontal group boycott

B. price-fixing agreement

C. horizontal division of markets

D. tying arrangement

Correct Answer:D

Question 28

- (Topic 3)
The Links Company, which offers its employees a self-funded health plan, signed a contract with a third party administrator (TPA) to administer the plan. The TPA handles the group's membership services and claims administration. The contract between Links

A. a manual rating contract

B. a funding vehicle contract

C. an administrative services only (ASO) contract

D. a pooling contract

Correct Answer:C

Question 29

- (Topic 1)
In 1999, the United States Congress passed the Financial Services Modernization Act, which is referred to as the Gramm-Leach-Bliley (GLB) Act. The following statement(s) can correctly be made about this act:

A. The GLB Act allows convergence among the transaction

B. A only

C. Both A and B

D. B only

E. Neither A nor B

Correct Answer:B

Question 30

- (Topic 1)
From the following answer choices, choose the description of the ethical principle that best corresponds to the term Autonomy

A. Health plans and their providers are obligated not to harm their members

B. Health plans and their providers should treat each member in a manner that respects the member's goals and values, and they also have a duty to promote the good of the members as a group

C. Health plans and their providers should allocate resources in a way that fairly distributes benefits and burdens among the members

D. Health plans and their providers have a duty to respect the right of their members to make decisions about the course of their lives

Correct Answer:D

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