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Free AHM-250 Exam Braindumps (page: 45)

Page 44 of 92
PDF with 367 Questions

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. Has ever participated in any quality improvement activities.
  2. Is a participating provider in a health plan that will compete with Ark in its new service area.
  3. Meets the requirements of the Ethics in Patient Referrals Act.
  4. Has had a medical malpractice claim filed or other disciplinary actions taken against her.

Answer(s): D



The Azure Group is a for-profit health plan that operates in the United States. The Fordham Group owns all of Azure's stock. The Fordham Group's sole business is the ownership of controlling interests in the shares of other companies. This information ind

  1. A holding company of the Fordham Group.
  2. A sister corporation of the Fordham Group.
  3. A subsidiary of the Fordham Group.
  4. All of the above.

Answer(s): C



The Blaine Healthcare Corporation seeks to manage its quality by first identifying the best practices and best outcomes for a given procedure. Blaine can then determine areas in which it can emulate the best practices in order to equal or surpass the best

  1. provider profiling
  2. benchmarking
  3. peer review
  4. quality assessment

Answer(s): B



The Citywide Health Group is a large provider-based health plan that includes physician groups, hospitals, and other facilities. In order to oversee and manage the operation of the organization, Citywide has established an enterprise scheduling system. The

  1. provide information to Citywide's management regarding provider licensure, certification, and malpractice history
  2. detect instances of overutilization, underutilization, or inappropriate utilization of medical resources
  3. allow Citywide's different components to function as a single organization in arranging access to facilities and resources
  4. facilitate the processing of requests for authorization of payment of benefits

Answer(s): C






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