Free AHM-540 Exam Braindumps

QUESTION: 1
By definition, the development and implementation of parameters for the delivery of healthcare services
to a health plan's members is known as

A. utilization management (UM)
B. quality management (QM)
C. care management
D. clinical practice management

Answer(s): D
QUESTION: 2
Determine whether the following statement is true or false:

With respect to the size of a managed care organization (MCO) and its medical management operations,
it is correct to say that large health plans typically have more integration among activities and less
specialization of roles than do small MCOs.

A. True
B. False

Answer(s): B
QUESTION: 3
With respect to the activities of MCO medical directors, it is correct to say that medical directors typically
perform all of the fol owing activities EXCEPT

A. maintaining clinical practices
B. delivering performance feedback to providers
C. participating in utilization management (UM) activities
D. educating other MCO staff about new clinical developments or provider innovations that might impact
clinical practice management

Answer(s): A

QUESTION: 4
The paragraph below contains two pairs of terms enclosed in parentheses. Select the term in each pair
that correctly completes the paragraph. Then select the answer choice containing the two terms that you
have chosen.

Under a delegation arrangement, the (delegate / delegator) is responsible for performing the delegated
function according to established standards, and the (delegate / delegator) is ultimately accountable for
any deficiencies in the performance of the function.

A. delegate / delegate
B. delegate / delegator
C. delegator / delegate
D. delegator / delegator

Answer(s): B