Free AHM-530 Exam Braindumps
Network Management Questions 46–50 (page: 11)

Updated On: 9-Feb-2026

Participating providers in a health plan's network must undergo recredentialing on a regular basis. During recredentialing, a health plan typically reviews

  1. a provider's current, updated application information, as well as provider's peer reviews and performance reports on the provider
  2. a provider's current, updated application information, as well as the provider's education and prior work history
  3. a provider's education and prior work history only
  4. peer reviews and performance reports on a provider and the provider's prior work history only

Answer(s): A



With respect to hiring practices, one step that a health plan most likely can take to avoid violating the terms of the Americans with Disabilities Act (ADA) is to

  1. Require a medical examination prior to accepting an application for employment
  2. Include in the employment application questions pertaining to health status
  3. Make a conditional offer of employment, and then require the candidate to have an examination prior to granting specific staff privileges
  4. Require applicants to answer questions pertaining to the use of drugs and alcohol 21

Answer(s): C



Determine whether the following statement is true or false:

The NCQA has established a Physician Organization Certification (POC) program for the purpose of certifying medical groups and independent practice associations for delegation of certain NCQA standards, including data collection and verification for credentialing and recredentialing.

  1. True
  2. False

Answer(s): A



For this question, if answer choices (A) through (C) are all correct, select answer choice (D). Otherwise, select the one correct answer choice. A credentials verification organization (CVO) can be certified to verify certain pertinent credentialing information, including

  1. Liability claims histories of prospective providers
  2. Hospital privileges of prospective providers
  3. Malpractice insurance on prospective providers
  4. All of the above

Answer(s): D



The introductory paragraph of a provider contract is generally followed by a section called the recitals. The recitals section of the contract typically specifies the

  1. Purpose of the agreement
  2. Manner in which the provider is to bill for services 22
  3. Definitions of key terms to be used in the contract
  4. Rate at which the provider will be compensated

Answer(s): A



Viewing page 11 of 42
Viewing questions 51 - 55 out of 202 questions


Post your Comments and Discuss AHIP AHM-530 exam prep with other Community members:

AI Tutor AI Tutor 👋 I’m here to help!