AHM-250 Free Practice Test

- (Topic 3)
The Polestar Company's sole business is the ownership of Polaris Medical Group, a health plan and subsidiary of Polestar. Some members of Polestar's board of directors hold positions with Polestar in addition to their positions on the board; the rest are professionals in academia and businesspeople who do not work for Polestar. Dr. Carolyn Porter, a university president, is on Polestar's board. From the following answer choices, select the response containing the term that correctly identifies Polestar's relationship to Polaris and the term that describes the type of board member represented by Dr. Porter

1. A. Polestar's relationship to Polaris: partnership: Type of board member: operations director
2. B. Polestar's relationship to Polaris: partnership: Type of board member: outside director
3. C. Polestar's relationship to Polaris: holding company: Type of board member: operations director
4. D. Poles tar's relationship to Polaris: holding company: Type of board member: outside director

Correct Answer: D

- (Topic 2)
One way that MCOs involve providers in risk sharing is by retaining a percentage of the providers' payment during a plan year. At the end of the plan year, the MCO may use the amount retained to offset or pay for any cost overruns for referral or hospital

1. A. withholds
2. B. usual, customary, and reasonable (UCR) fees
3. C. risk pools
4. D. per diems

Correct Answer: A

- (Topic 3)
The provision of mental health and chemical dependency services is collectively known as behavioral healthcare. The following statements are about behavioral healthcare. Three of these statements are true and one statement is false. Select the answer choice

1. A. Factors that have increased the demand for behavioral healthcare services include increased stress on individuals and families and the increasing availability of behavioral
2. B. healthcare services.
3. C. To manage the delivery of behavioral healthcare services, managed behavioral health organizations (MBHOs) use only two basic strategies: alternative treatment levels and crisis intervention.
4. D. The treatment approaches for behavioral healthcare most often include drug therapy, psychotherapy, and counseling.
5. E. The development of alternative treatment options, incorporation of community-based resources into the healthcare system, and increased reliance on case management have shifted the emphasis of managed behavioral healthcare from meeting the service needs of

Correct Answer: B

- (Topic 3)
Flexible Spending Accounts (FSAs) can be established by

1. A. The employer alone
2. B. The employee alone
3. C. By both the employer & the employee
4. D. Self - employed individuals

Correct Answer: A

- (Topic 3)
IROs stands for

1. A. Internal Review Organizations
2. B. International review Organizations
3. C. Independent review organizations
4. D. None of the above

Correct Answer: C