AHM-250Healthcare Management: An Introduction
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Last Updated Apr 23, 2024 Ace your exams with our consistently updated AHM-250 exam dumps.
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AHM-250 Online Practice Questions and Answers
Federal Employee Health Benefits Program (FEHBP) requires health plans offering services to federal employees and their dependents to provide
A. Immediate access to emergency services
B. Urgent Appointments within 24 hours
C. Routine appointments once a m
D. D
E. A
F. B and C
G. All of the listed options
Health plans often program into their claims processing systems certain criteria that, if unmet, will prompt further investigation of a claim. In an automated claims processing system, these criteria may signal the need for further review when, for example
A. Encounter reports
B. Diagnostic codes
C. Durational ratings
D. Edits
The participating physicians remain independent practitioners who operate out of their own offices and can treat other patients in addition to Kayak plan members. Kayak can correctly be characterized as
A. a closed-panel HMO
B. an open-panel HMO
C. a direct contract model HMO
D. a dual choice HMO
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