AHM-250

AHM-250 practice questions, page 3 of 15, with answer review and explanations.

Question 11

According to the IRS, which of the following is not an allowable preventive care service?

  1. Smoking cessation programs.
  2. Periodic health examinations.
  3. Health club memberships.
  4. Immunizations for children and adults.

Question 12

After a somewhat modest start in 2004, enrollment in HSA-related health plans more than tripled in 2005, making them today’s fastest growing type of CDHP. As of January 2006, enrollment in HSAs had reached nearly:

  1. 1.2 million
  2. 2.2 million
  3. 3.2 million
  4. 4.2 million

Question 13

Al Marak, a member of the Frazier Health Plan, has asked for a typical Level One appeal of a decision that Frazier made regarding Mr. Marak's coverage. One true statement about this Level One appeal is that:

  1. Mr. Marak has the right to appeal to the next level if the Level One appeal upholds the original decision
  2. It requires Frazier and Mr. Marak to submit to arbitration in order to resolve the dispute
  3. It is considered to be an informal appeal
  4. It will be handled by an independent review organization (IRO)

Question 14

All CDHP products provide federal tax advantages while allowing consumers to save money for their healthcare.

  1. True
  2. False

Question 15

All good Medical, Inc., a health plan, has contracted with Mercy Memorial Hospital to provide inpatient medical services to Allgood's plan members. The terms of the contract specify that Allgood will reimburse Mercy Memorial on the basis of a negotiated charge for each inpatient day allocated to one of its members. This negotiated charge represents a percentage discount that increases as patient volume increases. In this situation, the type of compensation agreement between Allgood and Mercy Memorial is best identified as a:

  1. per diem agreement
  2. fee-for-service agreement
  3. withhold agreement
  4. diagnostic related group (DRG) agreement