Free AHIP AHM-530 Exam Questions
Absolute Free AHM-530 Exam Practice for Comprehensive Preparation
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AHIP AHM-530 Exam Questions
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Provided By: AHIP
- Exam: Network Management (AHM530)
- Certification: AHIP Certification
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Total Questions: 205
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Updated On: Jun 01, 2025
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Rated: 4.9 |
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Online Users: 410
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Question 1
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Medicaid beneficiaries pose a challenge for health plans attempting to establish Medicaid provider
networks. Compared to membership in commercial health plans, Medicaid enrollees typically
Answer: A
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Medicaid beneficiaries pose a challenge for health plans attempting to establish Medicaid provider
networks. Compared to membership in commercial health plans, Medicaid enrollees typically
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Question 2
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The provider contract that Dr. Nick Mancini has with the Utopia Health Plan includes a clause that
requires Utopia to reimburse Dr. Mancini on a fee-for-service (FFS) basis until 100 Utopia
members have selected him as their primary care provider (PCP). At that time, Utopia will begin
reimbursing him under a capitated arrangement. This clause in Dr. Mancini's provider contract is
known as:
Answer: B
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The provider contract that Dr. Nick Mancini has with the Utopia Health Plan includes a clause that
requires Utopia to reimburse Dr. Mancini on a fee-for-service (FFS) basis until 100 Utopia
members have selected him as their primary care provider (PCP). At that time, Utopia will begin
reimbursing him under a capitated arrangement. This clause in Dr. Mancini's provider contract is
known as:
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Question 3
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The following statements are about workers' compensation provider networks. Select the answer
choice containing the correct statement:
Answer: D
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The following statements are about workers' compensation provider networks. Select the answer
choice containing the correct statement:
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Question 4
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Medicaid beneficiaries pose a challenge for health plans attempting to establish Medicaid provider
networks. Compared to membership in commercial health plans, Medicaid enrollees typically
Answer: A
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Medicaid beneficiaries pose a challenge for health plans attempting to establish Medicaid provider
networks. Compared to membership in commercial health plans, Medicaid enrollees typically
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Question 5
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Dr. Eve Barlow is a specialist in the Amity Health Plan’s provider network. Dr. Barlow’s provider
contract with Amity contains a typical most-favored-nation arrangement. The purpose of this
arrangement is to
Answer: C
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Dr. Eve Barlow is a specialist in the Amity Health Plan’s provider network. Dr. Barlow’s provider
contract with Amity contains a typical most-favored-nation arrangement. The purpose of this
arrangement is to