Free AHM-250 Exam Braindumps
Healthcare Management: An Introduction Questions 81–85 (page: 18)

Updated On: 10-Feb-2026

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:

  1. The GLB Act allows convergence among the transaction
  2. A only
  3. Both A and B
  4. B only
  5. Neither A nor B

Answer(s): B



In accounting terminology, the items of value that a company owns--such as cash, cash equivalents, and receivables--are generally known as the company's

  1. revenue
  2. net income
  3. surplus
  4. assets

Answer(s): D



In addition to the credentialing activities that an health plan performs when initially accepting a provider into its network, the health plan must also perform recredentialing of the same providers on an ongoing basis. Many of the same activities are per

  1. verification of a network provider's medical education and residency
  2. performance of site inspections in a provider's facilities
  3. review of information from a provider's quality improvement activities
  4. verification of a provider's licensure and certification

Answer(s): A



In assessing the potential degree of risk represented by a proposed insured, a health underwriter considers the factor of anti selection. Anti selection can correctly be defined as the

  1. inability of a proposed insured to share with the insurer the financial risks of healthcare coverage
  2. possibility that a proposed insured will profit from an illness by receiving benefits that exceed the total amount of his or her eligible medical expenses
  3. inability of a proposed insured to provide sufficient evidence that proves he or she is an insurable risk
  4. tendency of people who have a greater-than-average likelihood of loss to apply for or continue insurance protection to a greater extent than people who have an average or less than average likelihood of the same loss

Answer(s): D



In certain situations, a health plan can use the results of utilization review to intervene, if necessary, to alter the course of a plan member's medical care. Such intervention can be based on the results of

  1. Prospective review
  2. Concurrent review
  3. D, A, B, and C
  4. A and B only
  5. A and C only
  6. B only

Answer(s): C



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