820 お客様のコメント
質問 1：
In large health plans, management functions such as provider recruiting, credentialing, contracting, provider service, and performance management for providers are typically the responsibility of the
A. board of directors
B. director of operations
C. network management director
D. chief executive officer (CEO)
正解：C
質問 2：
More procedures or services may be fully covered within the PPO network than those out of network.
A. False
B. True
正解：B
質問 3：
Which is an advantage of a for-profit health plan?
A. Double taxation
B. Flexibility in raising capital
C. None of the above.
D. Exemption from paying federal income taxes.
正解：B
質問 4：
The following statements describe two types, or models, of HMOs:
The Quest HMO has contracted with only one multi-specialty group of physicians. These physicians are employees of the group practice, have an equity interest in the practice, and provide
A. An independent group a network model
B. A captive group a network model
C. An independent group a staff model
D. A captive group a staff model
正解：B
質問 5：
For providers, integration occurs when two or more previously separate providers combine under common ownership or control, or when two or more providers combine business operations that they previously carried out separately and independently. Such provi
A. all of the above
B. an increase in providers' autonomy and control over their own work environment
C. higher costs for health plans, healthcare purchasers, and healthcare consumers
D. improved provider contracting position with health plans
正解：D
質問 6：
The following programs are typically included in TRICARE medical management efforts:
A. All of the listed options
B. B and C only
C. Utilization management
D. A and C only
E. A and B only
F. Case management
G. Self-care
正解：F
質問 7：
Utilization review offers health plans a means of managing costs by managing
A. Cost effectiveness of healthcare services.
B. Both of the above
C. Cost of paying healthcare benefits.
正解：B
質問 8：
The prudent layperson standard described in the Balanced Budget Act (BBA) of 1997 requires all hospitals that receive Medicare or Medicaid reimbursement to screen and, if necessary, stabilize all patients who come to their emergency departments.
A. False
B. True
正解：A
In large health plans, management functions such as provider recruiting, credentialing, contracting, provider service, and performance management for providers are typically the responsibility of the
A. board of directors
B. director of operations
C. network management director
D. chief executive officer (CEO)
正解：C
質問 2：
More procedures or services may be fully covered within the PPO network than those out of network.
A. False
B. True
正解：B
質問 3：
Which is an advantage of a for-profit health plan?
A. Double taxation
B. Flexibility in raising capital
C. None of the above.
D. Exemption from paying federal income taxes.
正解：B
質問 4：
The following statements describe two types, or models, of HMOs:
The Quest HMO has contracted with only one multi-specialty group of physicians. These physicians are employees of the group practice, have an equity interest in the practice, and provide
A. An independent group a network model
B. A captive group a network model
C. An independent group a staff model
D. A captive group a staff model
正解：B
質問 5：
For providers, integration occurs when two or more previously separate providers combine under common ownership or control, or when two or more providers combine business operations that they previously carried out separately and independently. Such provi
A. all of the above
B. an increase in providers' autonomy and control over their own work environment
C. higher costs for health plans, healthcare purchasers, and healthcare consumers
D. improved provider contracting position with health plans
正解：D
質問 6：
The following programs are typically included in TRICARE medical management efforts:
A. All of the listed options
B. B and C only
C. Utilization management
D. A and C only
E. A and B only
F. Case management
G. Self-care
正解：F
質問 7：
Utilization review offers health plans a means of managing costs by managing
A. Cost effectiveness of healthcare services.
B. Both of the above
C. Cost of paying healthcare benefits.
正解：B
質問 8：
The prudent layperson standard described in the Balanced Budget Act (BBA) of 1997 requires all hospitals that receive Medicare or Medicaid reimbursement to screen and, if necessary, stabilize all patients who come to their emergency departments.
A. False
B. True
正解：A
田山** -
こちらPass4TestのAHM-250問題集、レイアウトが絶妙で
初心者でも挫折しないように、丁寧に解説されていて
適度な図解もあり、非常に読みやすく分かりやすいです。