QUESTION: 117

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

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

Answer(s): B

QUESTION: 118

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

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

Answer(s): D

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QUESTION: 119

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

Coordinating and monitoring the member's care
Approve
Both A and B
A only
B only
Neither A nor B

Answer(s): B

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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

ambulance and the diagnostic tests
ambulance, the diagnostic tests, and the physician's professional services
cost of hospitalization
cost of hospitalization and the physician's professional services

Answer(s): D

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Free AHM-250 Exam Braindumps (page: 31)

QUESTION: 117

QUESTION: 118

QUESTION: 119

QUESTION: 120

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