AHIP AHM-530 Dumps PDF

Why is Real Exam Collection the best choice for certification exam preparation?

Unlike other web portals, RealExamCollection.com is committed to give AHIP AHM-530 practice exam questions with answers, free of cost. To see the entire study material you need to sign up for a free account on RealExamCollection. A lot of customers all over the world are getting high grades by using our AHM-530 dumps. You can get 100% passing and money back guarantee on AHM-530 exam. Instant access to pdf files right after purchase.

A Central Tool to Help You Prepare for AHIP AHM-530 Exam

RealExamCollection.com is the final tuition basis for taking the AHIP AHM-530 exam. We strictly followed the accurate review exam questions and answers, which are regularly updated and reviewed by production experts. Our AHIP AHM-530 dumps experts from various well-known administrations are intellectuals and qualified individuals who have look over very important AHIP AHM-530 exam question and answer section to benefit you to realize the concept and pass the certification exam with good marks. AHIP AHM-530 braindumps is the best way to prepare your exam in just 1 day.

User Friendly & Easily Accessible on Mobile Devices

You can find extremely user friendly platform for AHIP exam. The main aim of our platform is to provide latest accurate, updated and really helpful study material. This material helps the students to study and pass the implanting and supporting AHIP systems. Students can get access to real exam questions and answers , which will available to download in PDF format right after the purchase. This website is mobile friendly for tester and gives the ability to study anywhere as long as internet data connection on your mobile device.

Get Instant Access to the Most Accurate & Recent Network Management Questions & Answers:

Our exam database is frequently updated all over the year to contain the new questions and answers for the AHIP AHM-530 exam. Every exam page will contain date at the top of the page including the updated list of exam questions and answers. Due to the authentication of current exam questions, you will pass your test in initial try.

AHIP AHM-530 Dumps Are Verified by Industry Experts

Dedication to providing the accurate Network Management test questions and answers, along with brief descriptions. Every question and answer are verified through AHIP professionals. Highly qualified individuals who have spends many years and getting the professional experience in AHIP exam.
All Exam Questions Include Detailed Answers with Explanations
Instead of many other exam web portals, RealExamCollection.com deliver best AHIP AHM-530 exam questions with detailed answers explanations.

Money Back Guarantee

RealExamCollection.com is devoted to give quality AHIP AHM-530 braindumps that will assist you passing the exam and getting certification. We provide latest and realistic test questions from current exams to give you the best method of preparation for the AHIP AHM-530 exam. If you have purchased complete PDF file and unable to pass the AHIP exam, you can either replace your exam or claim your money back. Our money back policy is very simple, for more details visit guarantee page.

Sample Questions

Question 1

The Bruin Health Plan is a Social Health Maintenance Organization (SHMO). As an SHMO, Bruin:

A. Must provide Medicare participants with standard HMO benefits, as well as with limited long-term care benefits
B. Does not need as great a variety of provider types or as complex a reimbursement method as does a traditional HMO 
C. Receives a payment that is based on reasonable costs and reasonable charges 
D. Most likely provides fewer supportive services than does a traditional HMO, because one of Bruin's goals is to minimize the use of community-based care 

Answer: A

Show Answer

Question 2

The provider contract that Dr. Bijay Patel has with the Arbor Health Plan includes a nobalance-billing clause. The purpose of this clause is to:

A. prohibit Dr. Patel from collecting payments from Arbor plan members for medical services that he provided them, even if the services are explicitly excluded from the benefit plan
B. allow Dr. Patel to bill patients for services only if the services are considered to be medically necessary
C. establish the guidelines used to determine if Arbor is the primary payor of benefits in a situation in which an Arbor plan member is covered by more than one health plan
D. require Dr. Patel to accept Arbor's payment as payment in full for medical services that he provides to Arbor plan members 

Answer: D

Show Answer

Question 3

In health plan pharmacy networks, service costs consist of two components: costs for services associated with dispensing prescription drugs and costs for cognitive services. Cognitive services typically include:

A. making generic substitutions of drugs
B. counseling patients about prescriptions
C. providing patient monitoring
D. switching prescription drugs to preferred drugs

Answer: B

Show Answer

Question 4

The following statement(s) can correctly be made about contracting and reimbursement of specialty care physicians (SCPs):

A. Typically, a health plan should attempt to control utilization of SCPs before attempting to place these providers under a capitation arrangement.
B. Forms of specialty physician reimbursement used by health plans include a retainer and a bundled case rate.
C. Both A and B
D. A only
E. B only
F. Neither A nor B

Answer: A

Show Answer

Question 5

From the following answer choices, choose the type of clause or provision described in this situation.The provider contract between Dr. Olin Norquist and the Granite Health Plan specifies a time period for the party who has breached the contract to remedy the problem and avoid termination of the contract. 

A. Cure provision
B. Hold-harmless provision
C. Evergreen clause
D. Exculpation clause

Answer: A

Show Answer

Related Exams