AHIP AHM-250 問題集

質問 1：
John Kerry's employer has contracted to receive healthcare for its employees from the Democratic Healthcare System. Mr. Kerry visits his PCP, who sends him to have some blood tests. The PCP then refers Mr. Kerry to a specialist who hospitalizes him for on
A. a physician-hospital organization
B. a management services organization
C. an integrated delivery system
D. a physician practice organization
正解：C

質問 2：
One true statement regarding ethics and laws is that the values of a community are reflected in
A. ethics only, but only laws are enforceable in the court system
B. both ethics and laws, and both ethics and laws are enforceable in the court system
C. laws only, but both ethics and laws are enforceable in the court system
D. both ethics and laws, but only laws are enforceable in the court system
正解：D

質問 3：
The Military Health System of the Department of Defense offers ongoing healthcare coverage to military personnel and their families through the
A. Health Care Prepayment Plan (HCPP)
B. Health Plan Management System (HPMS)
C. Health Care Quality Improvement Program (HCQIP)
D. TRICARE healthcare system
正解：D

質問 4：
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
A. 0
B. 380
C. 130
D. 550
正解：B

質問 5：
In order to measure the expenses of institutional utilization, Holt Healthcare Group uses the standard formula to calculate hospital bed days per 1,000 plan members per year. On October 23, Holt used the following information to calculate the bed days per
A. 397
B. 278
C. 403
D. 920
正解：A

質問 6：
In certain situations, a health plan can use the results of utilization review to intervene, if necessary, to alter the course of a plan member's medical care. Such intervention can be based on the results of
正解：

質問 7：
Health plans' use of the Internet to provide plan members with health-related information has grown rapidly in recent years. One advantage the Internet has over other forms of communication is that
A. the Internet is immune to internal security breaches by employees or trading partners within the network
B. users can contact a single controlling organization to rectify disruptions in Internet service
C. access to the Internet is available only to members of the health plan's network
D. users can access the Internet using a number of different types of computer systems
正解：D