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Free AHM-250 Exam Braindumps (page: 44)

Page 43 of 92
PDF with 367 Questions

The administrative simplification standards described under Title II of HIPAA include privacy standards to control the use and disclosure of health information. In general, these privacy standards prohibit

  1. all health plans, healthcare providers, and healthcare clearinghouses from using any protected health information for purposes of treatment, payment, or healthcare operations without an individual's written consent
  2. patients from requesting that restrictions be placed on the accessibility and use of protected health information
  3. transmission of individually identifiable health information for purposes other than treatment, payment, or healthcare operations without the individual's written authorization
  4. patients from accessing their medical records and requesting the amendment of incorrect or incomplete information

Answer(s): D



The Advantage Health Plan recently added the following features to its member services program:
IVR
Active member outreach program
Advantage's member services staffing needs are likely to increase as a result of

  1. 1
  2. 2
  3. 1 & 2
  4. Neither 1 nor 2

Answer(s): B



The application of health plan principles to workers' compensation insurance programs has presented some unique challenges because of the differences between health plan for traditional group healthcare and workers' compensation. One key difference is that

  1. limits coverage to eligible employees and excludes part-time employees
  2. specifies an annual lifetime benefit maximum on dollar coverage for medical costs
  3. provides benefits regardless of the cause of an injury or illness
  4. provides benefits for both healthcare costs and lost wages

Answer(s): D



The Ark Health Plan, is currently recruiting providers in preparation for its expansion into a new service area. A recruiter for Ark has been meeting with Dr. Nan Shea, a pediatrician who practices in Ark's new service area, in order to convince her to be

  1. Credentialing
  2. Accreditation
  3. A sentinel event
  4. A screening program

Answer(s): A






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