QUESTION: 105

John Kerry's employer has contracted to receive healthcare for its employees from the Democratic Healthcare System. Mr. Kerry visits his PCP, who sends him to have some blood tests. The PCP then refers Mr. Kerry to a specialist who hospitalizes him for on

a physician practice organization
a physician-hospital organization
a management services organization
an integrated delivery system

Answer(s): D

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QUESTION: 106

Katrina Lopez is a claims analyst for a health plan that provides a higher level of benefits for services received in-network than for services received out-of-network. Ms. Lopez reviewed a health claim for answers to the following questions:
Question A

A, B, C, and D
A, B, and D only
B, C, and D only
A and C only

Answer(s): A

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QUESTION: 107

Katrina Lopez is a claims analyst for a health plan that provides a higher level of benefits for services received in-network than for services received out-of-network. Ms. Lopez reviewed a health claim for answers to the following questions:

Question A --

A, B, C, and D
A, B, and D only
B, C, and D only
A and C only

Answer(s): A

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QUESTION: 108

Khalyn Drury's employer includes managed dental care in its employee benefits package. During open enrollment, Ms. Drury enrolled in the dental plan, which provides dental services to its members in exchange for a prepayment (the premium). Dental services

dental preferred provider organization (PPO)
traditional fee-for-service (FFS) dental plan
plan with a dental point of service (POS) option
dental health maintenance organization (DHMO)

Answer(s): D

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Free AHM-250 Exam Braindumps (page: 28)

QUESTION: 105

QUESTION: 106

QUESTION: 107

QUESTION: 108

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