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Free AHM-520: Health Plan Finance and Risk Management Exam Questions and Answers
Last updated: March 31, 2025
Examtopics AHM-520: Health Plan Finance and Risk Management Prepaway Real Exam Questions and dumps free download
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405-AHM-520: Health Plan Finance and Risk Management
#Question
The outcome of better care coordination is often reflected in:
A.
Decreased service options
B.
Improved population health
C.
Higher hospitalization rates
D.
Increased administrative costs
Correct Answer:
B
Improved care coordination contributes to better health outcomes across populations.
#Question
A primary consideration when launching a new health initiative is:
A.
Geographic coverage
B.
Provider engagement
C.
Historical pricing
D.
Member enrollment
Correct Answer:
B
Provider engagement ensures successful implementation and patient buy-in for new initiatives.
#Question
What should a health plan prioritize when transitioning to alternative payment models?
A.
Fee-for-service contracts
B.
Limited member engagement
C.
Quality over quantity
D.
Standard procedures
Correct Answer:
C
In alternative payment models, prioritizing quality ensures improved member health outcomes.
#Question
In addressing mental health claims, a health plan should prioritize:
A.
Limited therapy options
B.
Emergency room visits
C.
Preventive measures
D.
Integrated care solutions
Correct Answer:
D
Integrated care solutions enhance coordination and improve outcomes for mental health claims.
#Question
What strategy can be effective in promoting health literacy among members?
A.
Increasing copays
B.
Offering fewer services
C.
Providing educational materials
D.
Limiting access to specialists
Correct Answer:
C
Educational materials improve understanding and empower members to make informed health decisions.
#Question
If a health plan is evaluating its administrative costs, what report would be useful?
A.
Member satisfaction survey
B.
Employee performance
C.
Claims submission
D.
Budget variance
Correct Answer:
D
Budget variance reports help to assess differences between expected and actual administrative costs.
#Question
Health plans can assess their operational performance by tracking:
A.
Member feedback
B.
Key performance indicators
C.
Regulatory compliance
D.
Provider reviews
Correct Answer:
B
Key performance indicators provide quantitative measures of operational effectiveness.
405-AHM-520: Health Plan Finance and Risk Management
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Q1: What are AHIP Certification Exams? A: AHIP (America’s Health Insurance Plans) Certification Exams validate your expertise in health insurance and related fields, demonstrating your knowledge of Medicare, Medicaid, compliance, fraud prevention, and the healthcare market.
Q2: Why should I pursue AHIP Certification? A: AHIP Certification enhances your professional credibility, showcasing your skills and knowledge in health insurance. This can lead to better job opportunities, higher salaries, and career advancement in the healthcare insurance industry.
Q3: What are the benefits of AHIP Certification? A: Benefits include recognition as a certified health insurance professional, improved job performance, access to exclusive resources, continuing education opportunities, and the ability to stay current with the latest industry trends and regulatory changes.
Q4: Who should take AHIP Certification Exams? A: Health insurance professionals, agents, brokers, compliance officers, and anyone involved in selling or managing health insurance products should consider these certifications to validate their expertise and advance their careers.
Q5: What types of AHIP Certification Exams are available? A: AHIP offers various certification paths, including Medicare Training, Fraud, Waste & Abuse Training, and other specialized courses tailored to specific roles and expertise levels in health insurance.
Q6: How do I prepare for AHIP Certification Exams? A: Preparation can include official AHIP training courses, study guides, practice exams, webinars, and hands-on experience in health insurance sales and management.
Q7: Where can I take AHIP Certification Exams? A: AHIP Certification Exams are typically taken online, providing flexibility to fit your schedule and location.
Q8: How do AHIP Certifications impact my career? A: AHIP Certifications significantly boost your career by demonstrating your expertise to employers, making you a more competitive candidate for advanced roles and promotions in the health insurance industry.
Q9: Are there any prerequisites for AHIP Certification Exams? A: Some exams may have prerequisites, such as foundational knowledge or prior certifications. Check the specific requirements for each certification path on the AHIP website.
Q10: How often do I need to recertify for AHIP Certifications? A: AHIP Certifications typically require annual recertification to ensure that certified professionals stay updated with the latest health insurance practices and regulatory requirements.
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