AHIP.AHM-520.v2019-03-23.q129

Exam Code:AHM-520
Exam Name:Health Plan Finance and Risk Management
Certification Provider:AHIP
Free Question Number:129
Version:v2019-03-23
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# of Questions views:2042
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Exam Question List
Question 1: A health plan's costs can be classified as committed costs o...
Question 2: A product is often described as having a thin margin or a wi...
Question 3: Analysts will use the capital asset pricing model (CAPM) to ...
Question 4: The accounting department of the Enterprise health plan adhe...
Question 5: With regard to a health plan's underwriting of groups, it ca...
Question 6: One difference between the internal and external analysis of...
Question 7: As part of the first step in its strategic planning process,...
Question 8: The Chamber Health Plan reimburses primary care physicians o...
Question 9: The Jasmine Company, which self funds the health plan for it...
Question 10: The process of converting the present value of a specified a...
Question 11: Rasheed Azari, the risk manager for the Tower health plan, i...
Question 12: The Fiesta Health Plan prices its products in such a way tha...
Question 13: One true statement about a health plan's underwriting margin...
Question 14: The medical loss ratio (MLR) for the Peacock health plan is ...
Question 15: Dr. Martin Cassini is an obstetrician who is under contract ...
Question 16: The methods of alternative funding for health coverage can b...
Question 17: The following statements are about a health plan's capital b...
Question 18: Providing services under Medicare or Medicaid can impose on ...
Question 19: The following statements illustrate common forms of capitati...
Question 20: The following statements indicate the pricing policies of tw...
Question 21: The Caribou health plan is a for-profit organization. The fi...
Question 22: One true statement about the rate ratios used by a health pl...
Question 23: Under the alternative funding method used by the Flair Compa...
Question 24: The Kayak Company self funds the health plan for its employe...
Question 25: The Health Maintenance Organization (HMO) Model Act, develop...
Question 26: In the following paragraph, a sentence contains two pairs of...
Question 27: The following statements are about the capital budgeting tec...
Question 28: The Caribou health plan is a for-profit organization. The fi...
Question 29: Under GAAP, three approaches to expense recognition are gene...
Question 30: The Caribou health plan is a for-profit organization. The fi...
Question 31: This concept, which holds that a company should record the a...
Question 32: Health plans sometimes use global fees to reimburse provider...
Question 33: Over time, health plans and their underwriters have gathered...
Question 34: One law prohibits Dr. Laura Cole from making a referral to a...
Question 35: One true statement about cash-basis accounting is that...
Question 36: The risk-based capital formula for health plans defines a nu...
Question 37: The Atoll Health Plan must comply with a number of laws that...
Question 38: One true statement about mandated benefit laws is that they...
Question 39: The Challenger Group is a type of management services organi...
Question 40: The Caribou health plan is a for-profit organization. The fi...
Question 41: The provider contract that Dr. Timothy Meyer, a pediatrician...
Question 42: The following statements illustrate the use of different rat...
Question 43: The following statements are about carve-out programs. Three...
Question 44: State A, which requires guaranteed issue of at least two man...
Question 45: One way that a health plan can protect itself against case s...
Question 46: The following statements are about federal laws and regulati...
Question 47: An actuary for the Noble Health Plan observed that the plan'...
Question 48: For each of its products, the Wisteria Health Plan monitors ...
Question 49: A stop-loss contract may provide that claims are settled usi...
Question 50: The Danner Bank loaned money to the CareWell Health Plan to ...
Question 51: The Lighthouse health plan operates in a state that allows t...
Question 52: In order to calculate a simple monthly capitation payment, t...
Question 53: The following statements are about various reimbursement arr...
Question 54: The following statement(s) can correctly be made about a hea...
Question 55: The provider contract that Dr. Zachery Cogan, an internist, ...
Question 56: The reimbursement arrangement that Dr. Caroline Monroe has w...
Question 57: One true statement about variance analysis is that...
Question 58: One true statement about capital and surplus ratios for heal...
Question 59: Under the alternative funding method used by the Trilogy Com...
Question 60: This concept, which is an extension of the going-concern con...
Question 61: The sentence below contains two pairs of words enclosed in p...
Question 62: With regard to the Medicaid program in the United States, it...
Question 63: The Eagle health plan wants to limit the possibility that it...
Question 64: The Marble Health Plan sets aside a PMPM amount for each spe...
Question 65: The purest form of a self-funded benefit plan is one in whic...
Question 66: If Grace Wilson is eligible for benefits under both the Medi...
Question 67: Experience rating methods can be either prospective or retro...
Question 68: The ability of a health plan to effectively perform the rati...
Question 69: Kevin Olin applied for individual healthcare coverage from t...
Question 70: The following statements are about the Health Insurance Port...
Question 71: The following statements are about a health plan's pricing o...
Question 72: The Brookhaven Company is the parent company of two subsidia...
Question 73: The Harp Company self-funds the health plan for its employee...
Question 74: When pricing its product, the Panda Health Plan assumes a 4%...
Question 75: With regard to the major risk factors associated with group ...
Question 76: With regard to capitation arrangements for hospitals, it can...
Question 77: A financial analyst wants to learn the following information...
Question 78: The Newfeld Hospital has contracted with the Azalea Health P...
Question 79: Julio Benini is eligible to receive healthcare coverage thro...
Question 80: The following statements are about risk management in health...
Question 81: In order to show the efficiency of a health plan's managers ...
Question 82: Users of the Fulcrum Health Plan financial information inclu...
Question 83: The following statements are about the new methodology autho...
Question 84: The Newfeld Hospital has contracted with the Azalea Health P...
Question 85: In a fee-for-service (FFS) reimbursement method, providers a...
Question 86: A health plan that capitates a provider group typically prov...
Question 87: Federal law addresses the relationship between Medicare- or ...
Question 88: Provider reimbursement methods that transfer some utilizatio...
Question 89: In evaluating the claims experience during a given rating pe...
Question 90: Health plans seeking to provide comprehensive healthcare pla...
Question 91: Mandated benefit laws are state or federal laws that require...
Question 92: Mandated benefit laws are state or federal laws that require...
Question 93: The following paragraph contains an incomplete statement. Se...
Question 94: A key factor that distinguishes the various types of health ...
Question 95: The Cardinal health plan complies with all of the provisions...
Question 96: The Fairway health plan is a for-profit health plan that iss...
Question 97: The McGwire Health Plan is a for-profit health plan that iss...
Question 98: The following statements are about the financial risks for h...
Question 99: Most organizations that obtain group healthcare coverage can...
Question 100: Experience rating and manual rating are two rating methods t...
Question 101: The following statements are about a health plan's underwrit...
Question 102: Doctors' Care is an individual practice association (IPA) un...
Question 103: The Kayak Company self funds the health plan for its employe...
Question 104: One true statement about a type of capitation known as a per...
Question 105: The NAIC has developed a risk-based capital (RBC) formula fo...
Question 106: Two sets of financial accounting standards are generally acc...
Question 107: Companies typically produce three types of budgets: operatio...
Question 108: The Fiesta Health Plan prices its products in such a way tha...
Question 109: The Acorn Health Plan uses a resource-based relative value s...
Question 110: Reconciliation is the process by which a health plan assesse...
Question 111: The Violin Company offers its employees a triple option of h...
Question 112: The physicians who work for the Sunrise Health Plan, a staff...
Question 113: For this question, select the answer choice containing the t...
Question 114: Three general strategies that health plans use for controlli...
Question 115: If the Ascot health plan's accountants follow the going-conc...
Question 116: Because a health plan cannot decline coverage for individual...
Question 117: Under the doctrine of corporate negligence, a health plan an...
Question 118: The Eclipse Health Plan is a not-for-profit health plan that...
Question 119: The Sanford Group, a provider group, entered into a risk con...
Question 120: The Coral Health Plan, a for-profit health plan, has two sou...
Question 121: Several federal agencies establish rules and requirements th...
Question 122: Variance analysis is the study of the difference between exp...
Question 123: The following statements are about pure risk and speculative...
Question 124: The Zane health plan uses a base of accounting known as accr...
Question 125: The Poplar Company and a Blue Cross/Blue Shield organization...
Question 126: The Montvale Health Plan purchased a piece of real estate 20...
Question 127: Costs that can be defined by behavior are most commonly clas...
Question 128: The following examples describe situations that expose an in...
Question 129: With regard to the financial statements prepared by health p...