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AHIP AHM-540 Medical Management Exam Practice Test

Demo: 24 questions
Total 163 questions

Medical Management Questions and Answers

Question 1

Elaine Newman suffered an acute asthma attack and was taken to a hospital emergency department for treatment. Because Ms. Newman’s condition had not improved enough following treatment to warrant immediate release, she was transferred to an observation care unit. Transferring Ms. Newman to the observation care unit most likely

Options:

A.

resulted in unnecessarily expensive charges for treatment

B.

prevented Ms. Newman from receiving immediate attention for her condition

C.

gave Ms. Newman access to more effective and efficient treatment than she could have obtained from other providers in the same region

D.

allowed clinical staff an opportunity to determine whether Ms. Newman required hospitalization without actually admitting her

Question 2

Recent laws and regulations have established new requirements for Medicaid eligibility. The Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) of 1996 affected Medicaid eligibility by

Options:

A.

severing the link between Medicaid and public assistance

B.

eliminating the need for applications for Medicaid and public assistance

C.

allowing states to provide healthcare benefits to groups outside the traditional Medicaid population

D.

providing supplemental funding for dual eligibles in the form of five-year block grants

Question 3

This agency oversees fraud and abuse matters as they relate to medical management.

Options:

A.

Health Resources and Services Administration (HRSA)

B.

Office of Personnel Management (OPM)

C.

Department of Health and Human Services (HHS)

D.

Department of Justice (DOJ)

Question 4

The following statements are about health plans’ use of electronic data interchange (EDI). Three of the statements are true and one is false. Select the answer choice containing the FALSE ALSE statement.

Options:

A.

One advantage of EDI over manual data management systems is improved data integrity.

B.

EDI may use the Internet as the communication link between the participating parties.

C.

EDI involves back-and-forth exchanges of information concerning individual transactions.

D.

The data format for EDI is agreed upon by the sending and receiving parties.

Question 5

The case management program director at the Nova Health Plan calculated the program’s ratio of medical expense savings to case management administrative costs for the previous quarter based on the following cost information:

Administrative costs for case management ..........$40,000

Actual medical care expenses for patients under case management ..........$680,000

Projected medical care expenses for the same patients without case management ..........$900,000

This information indicates that, for the previous quarter, Nova’s ratio of medical expense savings to case management administrative costs was

Options:

A.

0.71/1

B.

0.80/1

C.

5.50/1

D.

1.25/1

Question 6

Determine whether the following statement is true or false:

The key to successfully managing the quality and cost-effectiveness of healthcare services for Medicaid enrollees is to merge Medicaid recipients into existing plans.

Options:

A.

True

B.

False

Question 7

Determine whether the following statement is true or false:

All health plans participating in the Federal Employee Health Benefits Program (FEHBP) are required to use the Consumer Assessment of Health Plans (CAHPS) to measure customer satisfaction.

Options:

A.

True

B.

False

Question 8

When analyzing and applying HRA results, the Multistate Health Plan noted sampling bias. This information indicates that the HRA results

Options:

A.

do not accurately depict the characteristics of the Multistate member population under study because of errors in data collection

B.

are more accurate for individual Multistate members than they are for the total population

C.

cannot be stated in numerical terms

D.

indicate variation in the number, types, and severity of behavioral risks presented by Multistate’s members

Question 9

7. One method that health plans use to address provider compliance with formularies is academic detailing.

Options:

A.

True

B.

False

Question 10

The paragraph below contains an incomplete statement. Select the answer choice containing the term that correctly completes the paragraph.

Definitions of quality healthcare vary; however, four dimensions are essential to quality healthcare services. ________________ is the quality dimension indicating that services result in the best care for a given cost or the lowest cost for a given level of care.

Options:

A.

Accessibility

B.

Effectiveness

C.

Acceptability

D.

Efficiency

Question 11

Demetrius Farrell, age 82, is suffering from a terminal illness and has consulted his health plan about the care options available to him. In order to avoid unwanted, futile interventions, Mr. Farrell signed an advance directive that indicates the types of end-of-life medical treatment he wants to receive. His family is to use this document as a guide should Mr. Farrell become incapacitated.

For this question, if answer choices (A) through (C) are all correct, select answer choice (D). Otherwise, select the one correct answer choice.

Decisions regarding Mr. Farrell’s end-of-life care are legally the right and responsibility of

Options:

A.

Mr. Farrell and his family

B.

Mr. Farrell’s physician

C.

Mr. Farrell’s health plan

D.

All of the above

Question 12

To facilitate electronic commerce (eCommerce), a health plan may establish a secured extranet. One true statement about a secured extranet is that it is

Options:

A.

based on Web-based technologies

B.

available only to the employees of the health plan

C.

publicly available, so the potential exists for unauthorized access to a health plan’s proprietary systems

D.

used to handle the majority of health plan eCommerce

Question 13

Increased demands for performance information have resulted in the development of various health plan report cards. With respect to most of the report cards currently available, it is correct to say

Options:

A.

that they are focused primarily on health maintenance organization (HMO) plans

B.

that they are based on data collected for the Health Plan Employer Data and Information Set (HEDIS) 3.0

C.

that they are used to rank the performance of various health plans

D.

all of the above

Question 14

The following statements are about medical management considerations for dental care. Select the answer choice containing the correct statement.

Options:

A.

Managed dental care organizations are regulated at the state rather than the federal level.

B.

Dental care differs from medical care in that most dental care is provided by specialists.

C.

Dental preferred provider organizations (Dental PPOs) are subject to more regulation than are dental health maintenance organizations (DHMOs).

D.

Managed dental plans are accredited by the National Association of Dental Plans (NADP).

Question 15

The Mental Health Parity Act (MHPA) of 1996 is a federal law that establishes requirements for behavioral healthcare coverage for group plan members. The MHPA

Options:

A.

requires health plans to offer mental health benefits to all eligible members

B.

prohibits health plans that offer mental health benefits from imposing lower annual or lifetime dollar limits on mental illnesses than they do on physical illnesses

C.

provides an exemption for health plans that can demonstrate cost savings of more than 1 percent

D.

prohibits health plans from limiting the number of outpatient visits or inpatient days covered under the plan

Question 16

The paragraph below contains two pairs of phrases enclosed in parentheses. Select the phrase in each pair that correctly completes the paragraph. The select the answer choice containing the two phrases you have selected.

Calvin Montrose, age 75, has difficulty performing basic self-care activities, such as bathing, dressing, and eating, without assistance. This information indicates that Mr. Montrose needs assistance with (activities of daily living / instrumental activities of daily living) that are used to measure his (functional status / health status).

Options:

A.

activities of daily living / functional status

B.

activities of daily living / health status

C.

instrumental activities of daily living / functional status

D.

instrumental activities of daily living / health status

Question 17

DUR can be conducted prospectively, concurrently, or retrospectively. One true statement about prospective DUR is that it

Options:

A.

involves periodic audits of the medical records of a certain group of patients

B.

is based on historical data

C.

focuses on the drug therapy for a single patient rather than overall usage patterns

D.

is conducted by physicians, without input from pharmacists

Question 18

For this question, if answer choices (A) through (C) are all correct, select answer choice (D). Otherwise, select the one correct answer choice.

In most commercial health plans, the case management process is directed by a case manager whose responsibilities typically include

Options:

A.

focusing on a disabled member’s vocational rehabilitation and training

B.

approving all care decisions for patients under case management

C.

reducing the fragmentation of care that often results when individuals obtain services from several different providers

D.

all of the above

Question 19

The paragraph below contains an incomplete statement. Select the answer choice containing the term that correctly completes the paragraph.

The Balanced Budget Act (BBA) of 1997 established the use of ___________ to determine coverage of emergency services for Medicare and Medicaid enrollees in health plans.

Options:

A.

utilization management standards

B.

the prudent layperson standard

C.

preauthorization

D.

diagnosis-based retrospective review

Question 20

For this question, if answer choices (1) through (3) are all correct, select answer choice (4). Otherwise, select the one correct answer choice.

Health plans sometimes delegate selected medical management activities to their providers or other external entities. Activities that are frequently delegated include

Options:

A.

utilization review (UR)

B.

quality management (QM)

C.

preventive health services

D.

all of the above

Question 21

Health plans have a specified number of working days to respond to Level One appeals, as stated by company policy or regulatory requirements. With regard to the timeframes for appeals, it is generally correct to say

1. That the typical timeframe requires a health plan to respond to appeals in fewer than 20 days

2. That the timeframe is accelerated for expedited appeals

3. That the review period begins when the appeal arrives at a health plan

Options:

A.

All of the above

B.

1 and 2 only

C.

1 and 3 only

D.

2 and 3 only

Question 22

The following statements are about the characteristics of a utilization review (UR) program. Three of the statements are true and one is false. Select the answer choice containing the FALSE statement.

Options:

A.

A primary goal of UR is to address practice variations through the application of uniform standards and guidelines.

B.

UR evaluates whether the services recommended by a member’s provider are covered under the benefit plan.

C.

UR recommends the procedures that providers should perform for plan members.

D.

A health plan’s UR program is usually subject to review and approval by the state insurance and/or health departments.

Question 23

To measure performance for quality management, health plans collect and analyze three types of data: financial data, clinical data, and customer satisfaction data. The following statement(s) can correctly be made about the sources of clinical data:

1. Patient surveys are the most widely used source of disease-specific clinical information

2. Outcomes research studies sponsored by academic institutions and professional organizations have limited usefulness for particular health plans or individual providers

3. The SF-36 and the HSQ-39 (Health Status Questionnaire) surveys address both physical and mental health status

Options:

A.

All of the above

B.

1 and 2 only

C.

2 and 3 only

D.

3 only

Question 24

Health plans that offer complementary and alternative medicine (CAM) services face potential liability because many types of CAM services

Options:

A.

must be offered as separate supplemental benefits or separate products

B.

lack clinical trials to evaluate their safety and effectiveness

C.

are not covered by state or federal consumer protection statutes

D.

focus on a specific illness, injury, or symptom rather than on the whole body

Demo: 24 questions
Total 163 questions