AHIP AHM-540 Exam Questions & Answers

Acute care refers to healthcare services for medical problems that

A. are expected to continue for a minimum of 30 days

B. are typically treated in a provider's office or outpatient facility

C. require prompt, intensive treatment by healthcare providers

D. require low utilization of resources

The following statement(s) can correctly be made about the hospitalist approach to inpatient care management:

1.Management of inpatient care by hospitalists may significantly reduce the length of stay and the total costs of care for a hospital admission

2.Most health plans that use hospitalists do so through a voluntary hospitalist program

3.A

hospitalist's familiarity with utilization management (UM) and quality management (QM) standards for inpatient care may reduce unnecessary variations in care and improve clinical outcomes

A.

All of the above

B.

1 and 2 only

C.

1 and 3 only

D.

2 only

Medicare beneficiaries can obtain healthcare benefits through fee-for-service (FFS) Medicare programs, Medicare medical savings account (MSA) plans, Medigap insurance, or coordinated care plans (CCPs).

Unlike other coverage options, CCPs

A. provide only those benefits covered by Medicare Part A and Part B

B. are not subject to federal or state regulation

C. place primary care at the center of the delivery system

D. are structured as indemnity plans