AHM-250 Free Practice Test

- (Topic 1)
Health plans' use of the Internet to provide plan members with health-related information has grown rapidly in recent years. One advantage the Internet has over other forms of communication is that

1. A. users can access the Internet using a number of different types of computer systems
2. B. access to the Internet is available only to members of the health plan's network
3. C. the Internet is immune to internal security breaches by employees or trading partners within the network
4. D. users can contact a single controlling organization to rectify disruptions in Internet service

Correct Answer: A

- (Topic 3)
In order to be more effective, changes to structure and processes must be carefully

1. A. Planned
2. B. Implemented
3. C. Documented
4. D. Evaluated
5. E. All the above

Correct Answer: E

- (Topic 3)
The Hill Health Plan designed a set of benefits that it packaged in the form of a PPO product. Hill then established a pricing structure that allowed its product to compete in the small group market, and it developed advertising designed to inform potential

1. A. $140
2. B. $170
3. C. $180
4. D. $210

Correct Answer: B

- (Topic 1)
Arthur Moyer is covered under his employer's group health plan, which must comply with the Consolidated Omnibus Budget Reconciliation Act (COBRA). Mr. Moyer is terminating his employment. He has elected to continue his coverage under his employer's group

1. A. 18 months, but his coverage under COBRA will cease if he obtains group health coverage through another employer.
2. B. 18 months, even if he obtains group health coverage through another employer.
3. C. 36 months, but his coverage under COBRA will cease if he obtains group health coverage through another employer.
4. D. 36 months, even if he obtains group health coverage through another employer.

Correct Answer: A

- (Topic 2)
In the United States, the Department of Defense offers ongoing healthcare coverage to military personnel and their families through the TRICARE health plan. One true statement about TRICARE is that

1. A. hospitals participating in TRICARE program are exempt from JCAHO accreditation and Medicare certification
2. B. TRICARE enrollees are not entitled to appeal authorization coverage decisions
3. C. active duty personnel are automatically considered enrolled in TRICARE Prime
4. D. TRICARE covers inpatient and outpatient services, physician and hospital charges, and medical supplies, but not mental health services

Correct Answer: C