AHM-250 Exam Dumps - AHIP Certification Questions and Answers

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Questions 4

One feature of the Employee Retirement Income Security Act (ERISA) is that it:

Options:

Requires self-funded employee benefit plans to pay premium taxes at the state level.

Contains a pre-emption provision, which typically makes the terms of ERISA take precedence over any state laws that regulate employee welfare benefit plans.

Contains strict reporting and disclosure requirements for all employee benefit plans except health plans.

Requires that state insurance laws apply to all employee benefit plans except insured plans.

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Questions 5

Medicare is the federal government program established under Title XVIII of the Social Security Act of 1965 to provide hospital, medical and other covered benefits to elderly and disabled persons. Medicare is available for:

Options:

Persons age 63 or older.

Persons with qualifying disabilities (over the age of 63)

Persons with end-stage renal disease (ESRD)

Low income individuals

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Questions 6

From the following choices, choose the definition that best matches the term health risk assessment (HRA)

Options:

A technique used to educate plan members on how to distinguish between minor problems and serious conditions and effectively treat minor problems themselves

A technique used to determine if a health condition is present even if a member has not experienced symptoms of the problem

A technique in which information about a plan member's health status, personal and family health history, and health-related behaviors is used to predict the member's likelihood of experiencing specific illnesses or injuries

A technique used to evaluate the medical necessity, appropriateness, and cost-effectiveness of healthcare services for a given patient

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Questions 7

Bart Vereen is insured by both a traditional indemnity health insurance plan, which is his primary plan, and a managed care plan. Both plans have a typical coordination of benefits (COB) provision, but neither plan has a nonduplication of benefits provision