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Free AHM-530: Network Management Exam Questions and Answers
Last updated: May 11, 2025
Examtopics AHM-530: Network Management Prepaway Real Exam Questions and dumps free download
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406-AHM-530: Network Management
#Question
In reviewing claims data, a network finds a rise in diagnostic tests. What action should be taken?
A.
Increase testing frequencies
B.
Investigate the cause
C.
Change insurance terms
D.
Dismiss the findings
Correct Answer:
B
Investigating the cause of the rise helps identify potential issues with overutilization or changing patient needs that need to be addressed.
#Question
A network is implementing a new population health strategy. What is crucial for success?
A.
Provider participation
B.
Patient engagement
C.
Cost-effectiveness
D.
Marketing campaigns
Correct Answer:
B
Patient engagement is key to successful population health strategies, as active participation leads to better health outcomes and program effectiveness.
#Question
If there is a noticeable increase in advanced imaging requests, what should be reviewed?
A.
Financial impact
B.
Provider relationships
C.
Patient demographics
D.
Utilization management practices
Correct Answer:
D
Reviewing utilization management practices is crucial for understanding the trend and assessing whether imaging is being used appropriately or excessively.
#Question
To enhance network efficiency, what should be prioritized?
A.
Patient feedback
B.
Staff satisfaction
C.
Technology upgrades
D.
Process improvements
Correct Answer:
D
Process improvements can lead to better resource allocation and more streamlined workflows, enhancing overall network efficiency.
#Question
A network finds that patients experience confusion about their care pathways. What step should be taken?
A.
Ignore the issue
B.
Create detailed care plans
C.
Limit patient education
D.
Reduce provider interaction
Correct Answer:
B
Creating detailed care plans clarifies patient care pathways and improves understanding for both patients and providers, ultimately enhancing the care experience.
#Question
If a provider fails to meet contractual obligations, what is the next step for the network manager?
A.
Ignore the situation
B.
Increase penalties
C.
Renegotiate terms
D.
Review the contract
Correct Answer:
D
Reviewing the contract allows for an understanding of the obligations and provides the basis for addressing underperformance and exploring remedies or renegotiations.
#Question
A network manager observes that follow-up calls are not being made. What is a suitable action?
A.
Reduce follow-up guidelines
B.
Conduct provider training
C.
Terminate staff contracts
D.
Increase administrative fees
Correct Answer:
B
Conducting provider training can reinforce the importance of follow-up calls and provide strategies to enhance provider adherence to best practices.
406-AHM-530: Network Management
#Question
In reviewing claims data, a network finds a rise in diagnostic tests. What action should be taken?
A.
Increase testing frequencies
B.
Investigate the cause
C.
Change insurance terms
D.
Dismiss the findings
Correct Answer:
B
Investigating the cause of the rise helps identify potential issues with overutilization or changing patient needs that need to be addressed.
#Question
A network is implementing a new population health strategy. What is crucial for success?
A.
Provider participation
B.
Patient engagement
C.
Cost-effectiveness
D.
Marketing campaigns
Correct Answer:
B
Patient engagement is key to successful population health strategies, as active participation leads to better health outcomes and program effectiveness.
#Question
If there is a noticeable increase in advanced imaging requests, what should be reviewed?
A.
Financial impact
B.
Provider relationships
C.
Patient demographics
D.
Utilization management practices
Correct Answer:
D
Reviewing utilization management practices is crucial for understanding the trend and assessing whether imaging is being used appropriately or excessively.
#Question
To enhance network efficiency, what should be prioritized?
A.
Patient feedback
B.
Staff satisfaction
C.
Technology upgrades
D.
Process improvements
Correct Answer:
D
Process improvements can lead to better resource allocation and more streamlined workflows, enhancing overall network efficiency.
#Question
A network finds that patients experience confusion about their care pathways. What step should be taken?
A.
Ignore the issue
B.
Create detailed care plans
C.
Limit patient education
D.
Reduce provider interaction
Correct Answer:
B
Creating detailed care plans clarifies patient care pathways and improves understanding for both patients and providers, ultimately enhancing the care experience.
#Question
If a provider fails to meet contractual obligations, what is the next step for the network manager?
A.
Ignore the situation
B.
Increase penalties
C.
Renegotiate terms
D.
Review the contract
Correct Answer:
D
Reviewing the contract allows for an understanding of the obligations and provides the basis for addressing underperformance and exploring remedies or renegotiations.
#Question
A network manager observes that follow-up calls are not being made. What is a suitable action?
A.
Reduce follow-up guidelines
B.
Conduct provider training
C.
Terminate staff contracts
D.
Increase administrative fees
Correct Answer:
B
Conducting provider training can reinforce the importance of follow-up calls and provide strategies to enhance provider adherence to best practices.
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