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AHIP AHM-540 Exam

Certification Provider: AHIP
Exam Name: AHM Medical Management
Duration: 120 Minutes
Number of questions in our database: 163
Exam Version: Oct. 05, 2022
AHM-540 Exam Official Topics:
  • Topic 1: Identify how and why a delegation is used in medical management/ Quality management methods?measurement and improvements
  • Topic 2: Recognize how medical management is used to deliver Medicare and Medicaid services/ Explore strategies for managing complex individual cases
  • Topic 3: Understand role of medical management in health insurance provider organizations/ Recognize the importance of preventive care and self-care programs
  • Topic 4: Examine the role of medical management in providing pharmacy services/ Learn how medical management is used in different types of care
  • Topic 5: Understand disease management?its purpose, processes, and programs

Free AHIP AHM-540 Exam Actual Questions

The questions for AHM-540 were last updated On Oct. 05, 2022

Question #1

Breanna Osborn is a case manager for a regional health plan. One component of Ms. Osborn's job is the collection and evaluation of medical, financial, social, and psychosocial information about a member's situation. This component of Ms. Osborn's job is known as

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Correct Answer: D

Question #2

The following statements are about risk management for case management. Three of the statements are true and one is false. Select the answer choice containing the FALSE statement.

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Correct Answer: D

Question #3

The BBA of 1997 allows states to provide Medicaid benefits to children through the State Children's Health Insurance Program (SCHIP). Under the terms of the BBA, states can implement SCHIP as

Part of their existing Medicaid programs

Separate commercial insurance programs

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Correct Answer: A

Question #4

The following statements are about QAPI as it applies to Medicare+Choice plans and Medicaid health plan entities. Select the answer choice containing the correct statement.

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Correct Answer: D

Question #5

The Medicaid population can be divided into subgroups based on their relative size and the costs of providing benefits. From the answer choices below, select the response that correctly identifies the subgroups that represent the largest percentages of the total Medicaid population and of total Medicaid expenditures. Largest % of Medicaid Population- Largest % of Medicaid Expenditures-

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Correct Answer: C


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