Free AHM-250 Exam Braindumps
Healthcare Management: An Introduction Questions 91–95 (page: 20)

Updated On: 10-Feb-2026

In order to cover some of the gap between FFS Medicare coverage and the actual cost of services, beneficiaries often rely on Medicare supplements.
Which of the following statements about Medicare supplements is correct?

  1. The initial ten (A-J) Medigap policies offer a basic benefit package that includes coverage for Medicare Part A and Medicare Part B coinsurance.
  2. Each insurance company selling Medigap must sell all the different Medigap policies.
  3. Medicare SELECT is a Medicare supplement that uses a preferred provider organization (PPO) to supplement Medicare Part A coverage.
  4. Medigap benefits vary by plan type (A through L), and are not uniform nationally.

Answer(s): A



In order to generate exchanges with consumers, healthcare plan marketers use the four elements of the marketing mix: product, price, place (distribution), and

  1. segmentation
  2. publicity
  3. promotion
  4. plan design

Answer(s): C



In order to help review its institutional utilization rates, the Sahalee Medical Group, a health plan, uses the standard formula to calculate hospital bed days per 1,000 plan members for the month to date (MTD). On April 20, Sahalee used the following inf

  1. 67
  2. 274
  3. 365
  4. 1,000

Answer(s): B



In order to measure the expenses of institutional utilization, Holt Healthcare Group uses the standard formula to calculate hospital bed days per 1,000 plan members per year. On October 23, Holt used the following information to calculate the bed days per

  1. 278
  2. 397
  3. 403
  4. 920

Answer(s): B



In preparation for its expansion into a new service area, the Regal MCO is meeting with Dr. Nancy Buhner, a cardiologist who practices in Regal's new service area, in order to convince her to become one of the plan's participating providers. As part of the

  1. ensure that Dr. Buhner complies with all of the provisions of the Ethics in Patient Referrals Act
  2. learn whether Dr. Buhner is a licensed medical practitioner
  3. confirm Dr. Buhner's membership in the National Committee for Quality Assurance (NCQA)
  4. learn whether Dr. Buhner has had a medical malpractice claim filed or other disciplinary actions taken against her

Answer(s): D



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