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AHM-540 pdf

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Medical Management

Last Update Nov 21, 2024
Total Questions : 163

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Medical Management Questions and Answers

Questions 1

Determine whether the following statement is true or false:

All health plans participating in the Federal Employee Health Benefits Program (FEHBP) are required to use the Consumer Assessment of Health Plans (CAHPS) to measure customer satisfaction.

Options:

A.

True

B.

False

Questions 2

Examples of alternative healthcare practitioners are chiropractors, naturopaths, and acupuncturists. The only well-established credentialing standards for alternative healthcare practitioners are those available from NCQA. These NCQA credentialing standards apply to

Options:

A.

chiropractors

B.

naturopaths

C.

acupuncturists

D.

all of the above

Questions 3

Some health plans administer a questionnaire known as the Behavioral Risk Factor Surveillance System (BRFSS) as part of their health risk assessment (HRA) processes. The following statements are about the BRFSS. If statements (A) through (C) are all correct, select answer choice (D). Otherwise, select the one correct statement.

Options:

A.

This questionnaire was designed specifically for use by health plans.

B.

Each health plan must use the same form of the questionnaire, with no additions or modifications.

C.

This questionnaire monitors the prevalence of the major behavioral risks associated with illness and injury among adults.

D.

All of the above statements are correct.

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