Vendor: AHIP
Certifications: AHIP Certification
Exam Code: AHM-250
Exam Name: Healthcare Management: An Introduction
Updated:
Q&As: 367
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Ian Vladmir wants to have a routine physical examination to ascertain that he is in good health. Mr. Vladmir is a member of a health plan that will allow him to select the physician of his choice, either from within his plan's network or from outside of h
A. a traditional HMO plan
B. a managed indemnity plan
C. a point of service (POS) option
D. an exclusive provider organization (EPO)
The Cleopatra Group, a third-party administrator (TPA), has entered into a TPA agreement with the Alexander MCO with regard to the administration of a particular health plan. This agreement complies with all of the provisions of the NAIC TPA Model Law. On
A. hold all funds it receives on behalf of Alexander in trust
B. assume full responsibility for determining the claim payment procedures for the plan
C. assume full responsibility for ensuring that the health plan is administered properly
D. obtain from the federal government a certificate of authority designating the Cleopatra Group as a TPA
One of the distinguishing characteristics of healthcare marketing is that many of the markets for health plans are national, not local markets.
A. True
B. False
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