Free AHM-250 Exam Braindumps
Healthcare Management: An Introduction Questions 116–120 (page: 25)

Updated On: 10-Feb-2026

Medicare is the federal government program established under Title XVIII of the Social Security Act of 1965 to provide hospital, medical and other covered benefits to elderly and disabled persons.
Medicare is available for:

  1. Persons age 63 or older.
  2. Persons with qualifying disabilities (over the age of 63)
  3. Persons with end-stage renal disease (ESRD)
  4. Low income individuals

Answer(s): C



Medicare Part C can be delivered by the following Medicare Advantage plans:

  1. HCCP, HMO, PPO (local or regional), PFFS or MS
  2. CCPs, PFFS or MSA.
  3. HMO, HSA, PPO (local or regional), PFFS or MSA.
  4. HMO, PPO (local or regional), POS, or MSA.

Answer(s): B



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

  1. surveys completed by members following a visit to a provider
  2. surveys sent to plan members who have not received healthcare services during a specified time period
  3. periodic reports of complaints received by member services personnel
  4. all of the above

Answer(s): D



Members who qualify to participate in a health plan's case management program are typically assigned a case manager. During the course of the member's treatment, the case manager is responsible for

  1. Coordinating and monitoring the member's care
  2. Approve
  3. Both A and B
  4. A only
  5. B only
  6. Neither A nor B

Answer(s): B



Merle Spencer has coverage under both Medicare Part A and Medicare Part B. Ms. Spencer recently was hospitalized for chest pains, and she incurred charges for:
-The cost of hospitalization for two days -Diagnostic tests performed in the hospital -Trans

  1. ambulance and the diagnostic tests
  2. ambulance, the diagnostic tests, and the physician's professional services
  3. cost of hospitalization
  4. cost of hospitalization and the physician's professional services

Answer(s): D



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