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Free AHM-520 sample questions

Real questions from the Health Plan Finance and Risk Management practice bank, with the correct answer and an explanation for each one. No junk, no filler.

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Showing 5 of 10 free sample questions.

Question 1Choose one

Doctors’ Care is an individual practice association (IPA) under contract to the Jasper Health Plan to provide primary and secondary care to Jasper’s members. Jasper’s capitation payments compensate Doctors’ Care for all physician services and associated diagnostic tests and laboratory work. The physicians at Doctors’ Care, as a group, determine how individual physicians in the group will be remunerated.The type of capitation used by Jasper to compensate Doctors’ Care is known as: A.PCP capitationB.Partial capitationC.Full professional capitationD.Specialty capitation

Question 2Choose one

If the total asset turnover ratio for the Fjord health plan is 1.08 and the total asset turnover ratio for the Grove health plan is 1.35, then a financial analyst could correctly infer that Fjord has used its assets more effectively than has Grove. A.TrueB.False

Question 3Choose one

This concept, which holds that a company should record the amounts associated with its business transactions in monetary terms, assumes that the value of money is stable over time. This concept provides objectivity and reliability, although its relevance may fluctuate. From the following answer choices, choose the name of the accounting concept that matches the description. A.Measuring-unit conceptB.Full-disclosure conceptC.Cost conceptD.Time-period concept

Question 4Choose one

Because a health plan cannot decline coverage for individuals who are eligible for conversion of group health coverage to individual health coverage, the bulk of the health plan's underwriting for conversion policies is accomplished through health plan design. A.TrueB.False

Question 5Choose one

The provider contract that Dr. Zachery Cogan, an internist, has with the Neptune Health Plan calls for Neptune to reimburse him under a typical PCP capitation arrangement. Dr. Cogan serves as the PCP for Evelyn Pfeiffer, a Neptune plan member. After hospitalizing Ms. Pfeiffer and ordering several expensive diagnostic tests to determine her condition, Dr. Cogan referred her to a specialist for further treatment. In this situation, the compensation that Dr. Cogan receives under the PCP capitation arrangement most likely includes Neptune's payment for: A.All of the diagnostic tests that he ordered on Ms. PfeifferB.His visits to Ms. Pfeiffer while she was hospitalizedC.The cost of the services that the specialist performed for Ms. PfeifferD.All of the above

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