AHM-520 Free Practice Test

- (Topic 1)
One law prohibits Dr. Laura Cole from making a referral to another provider entity for designated health services if Dr. Cole or one of her immediate family members has a financial relationship with the entity. This law is known as the

1. A. safe harbor law
2. B. upper payment limit law
3. C. anti-kickback law
4. D. physician self-referral law

Correct Answer: D

- (Topic 2)
One way that a health plan can protect itself against case stripping is by requiring:

1. A. Employees covered by a small group plan to contribute 100% of the cost of the healthcare coverage
2. B. The small group to have no more than 10 members
3. C. A minimum level of participation in order for a small group to be eligible for healthcare coverage
4. D. Its underwriters to consider the characteristics of the employer, but not of the group members, when underwriting the group

Correct Answer: C