Free AHIP AHM-520 Exam Questions
Try our Free Demo Practice Tests for Comprehensive AHM-520 Exam Preparation
-
AHIP AHM-520 Exam Questions
-
Provided By: AHIP
- Exam: Health Plan Finance and Risk Management (AHM520)
- Certification: AHIP Certification
-
Total Questions: 215
-
Updated On: Mar 28, 2025
-
Rated: 4.9 |
-
Online Users: 430
-
Question 1
-
The following statements are about the financial risks for health plans in Medicare and Medicaid markets. Three of these statements are true, and one statement is false. Select the answer choice containing the FALSE statement.
Answer: C
-
The following statements are about the financial risks for health plans in Medicare and Medicaid markets. Three of these statements are true, and one statement is false. Select the answer choice containing the FALSE statement.
-
Question 2
-
The Marble Health Plan sets aside a PMPM amount for each specialty.
When a PCP in Marble's provider network refers a Marble plan member to a specialist and the specialist provides medical services to the member, the specialist begins to receive a share of those funds on a monthly basis. Marble determines the monthly payment for each specialist by dividing the number of active patients for that specialty by the total specialty pool for that month.
This form of payment, which is similar to a case rate, is known as:
Answer: C
-
The Marble Health Plan sets aside a PMPM amount for each specialty.
-
Question 3
-
A health plan's costs can be classified as committed costs or discretionary costs. An example of a discretionary cost for a health plan is the cost of its:
Answer: A
-
A health plan's costs can be classified as committed costs or discretionary costs. An example of a discretionary cost for a health plan is the cost of its:
-
Question 4
-
With regard to the financial statements prepared by health plans, it can correctly be stated that:
Answer: B
-
With regard to the financial statements prepared by health plans, it can correctly be stated that:
-
Question 5
-
The following statements are about 501(c)(9) trusts. Select the answer choice containing the correct statement:
Answer: C
-
The following statements are about 501(c)(9) trusts. Select the answer choice containing the correct statement: