Free AHIP AHM-540 Exam Questions

Absolute Free AHM-540 Exam Practice for Comprehensive Preparation 

  • AHIP AHM-540 Exam Questions
  • Provided By: AHIP
  • Exam: Medical Management (AHM540)
  • Certification: AHIP Certification
  • Total Questions: 165
  • Updated On: May 21, 2026
  • Rated: 4.9 |
  • Online Users: 330
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  • Question 1
    • Michelle Durden, who is enrolled in a dental health maintenance organizations (DHMO) offered by her employer, is due for a routine dental examination. If the plan is typical of most DHMOs, then Ms. Durden


      Answer: C
  • Question 2
    • Comorbidity can have a significant impact on the effective implementation of disease management programs. Comorbidity can correctly be defined as the


      Answer: D
  • Question 3
    • Health plans arrange for the delivery of various levels of healthcare, including

      1. Emergency care

      2. Urgent care

      3. Primary care delivered in a provider’s office

      In a ranking of these levels of care according to cost, beginning with the least expensive level of

      care and ending with the most expensive level of care, the correct order would be 


      Answer: D
  • Question 4
    • Health plans that choose to contract with external organizations for pharmacy services typically

      contract with pharmacy benefit managers (PBMs). Functions that a PBM typically performs for a

      health plan include

      1. Managing the costs of prescription drugs

      2. Promoting efficient and safe drug use

      3. Determining the health plan’s internal management responsibilities for pharmacy services


      Answer: B
  • Question 5
    • Medicare beneficiaries can obtain healthcare benefits through fee-for-service (FFS) Medicare programs, Medicare medical savings account (MSA) plans, Medigap insurance, or coordinated care plans (CCPs). Unlike other coverage options, CCPs  


      Answer: C
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