• support@dumpspool.com
SPECIAL LIMITED TIME DISCOUNT OFFER. USE DISCOUNT CODE TO GET 20% OFF DP2021

PDF Only

$35.00 Free Updates Upto 90 Days

  • AHM-530 Dumps PDF
  • 202 Questions
  • Updated On April 15, 2024

PDF + Test Engine

$60.00 Free Updates Upto 90 Days

  • AHM-530 Question Answers
  • 202 Questions
  • Updated On April 15, 2024

Test Engine

$50.00 Free Updates Upto 90 Days

  • AHM-530 Practice Questions
  • 202 Questions
  • Updated On April 15, 2024
Check Our Free AHIP AHM-530 Online Test Engine Demo.

How to pass AHIP AHM-530 exam with the help of dumps?

DumpsPool provides you the finest quality resources you’ve been looking for to no avail. So, it's due time you stop stressing and get ready for the exam. Our Online Test Engine provides you with the guidance you need to pass the certification exam. We guarantee top-grade results because we know we’ve covered each topic in a precise and understandable manner. Our expert team prepared the latest AHIP AHM-530 Dumps to satisfy your need for training. Plus, they are in two different formats: Dumps PDF and Online Test Engine.

How Do I Know AHIP AHM-530 Dumps are Worth it?

Did we mention our latest AHM-530 Dumps PDF is also available as Online Test Engine? And that’s just the point where things start to take root. Of all the amazing features you are offered here at DumpsPool, the money-back guarantee has to be the best one. Now that you know you don’t have to worry about the payments. Let us explore all other reasons you would want to buy from us. Other than affordable Real Exam Dumps, you are offered three-month free updates.

You can easily scroll through our large catalog of certification exams. And, pick any exam to start your training. That’s right, DumpsPool isn’t limited to just AHIP Exams. We trust our customers need the support of an authentic and reliable resource. So, we made sure there is never any outdated content in our study resources. Our expert team makes sure everything is up to the mark by keeping an eye on every single update. Our main concern and focus are that you understand the real exam format. So, you can pass the exam in an easier way!

IT Students Are Using our Network Management Dumps Worldwide!

It is a well-established fact that certification exams can’t be conquered without some help from experts. The point of using Network Management Practice Question Answers is exactly that. You are constantly surrounded by IT experts who’ve been through you are about to and know better. The 24/7 customer service of DumpsPool ensures you are in touch with these experts whenever needed. Our 100% success rate and validity around the world, make us the most trusted resource candidates use. The updated Dumps PDF helps you pass the exam on the first attempt. And, with the money-back guarantee, you feel safe buying from us. You can claim your return on not passing the exam.

How to Get AHM-530 Real Exam Dumps?

Getting access to the real exam dumps is as easy as pressing a button, literally! There are various resources available online, but the majority of them sell scams or copied content. So, if you are going to attempt the AHM-530 exam, you need to be sure you are buying the right kind of Dumps. All the Dumps PDF available on DumpsPool are as unique and the latest as they can be. Plus, our Practice Question Answers are tested and approved by professionals. Making it the top authentic resource available on the internet. Our expert has made sure the Online Test Engine is free from outdated & fake content, repeated questions, and false plus indefinite information, etc. We make every penny count, and you leave our platform fully satisfied!

AHIP AHM-530 Sample Question Answers

Question # 1

The Bruin Health Plan is a Social Health Maintenance Organization (SHMO). As an SHMO, Bruin:

A. Must provide Medicare participants with standard HMO benefits, as well as with limited long-term care benefits
B. Does not need as great a variety of provider types or as complex a reimbursement method as does a traditional HMO 
C. Receives a payment that is based on reasonable costs and reasonable charges 
D. Most likely provides fewer supportive services than does a traditional HMO, because one of Bruin's goals is to minimize the use of community-based care 

Question # 2

The provider contract that Dr. Bijay Patel has with the Arbor Health Plan includes a nobalance-billing clause. The purpose of this clause is to:

A. prohibit Dr. Patel from collecting payments from Arbor plan members for medical services that he provided them, even if the services are explicitly excluded from the benefit plan
B. allow Dr. Patel to bill patients for services only if the services are considered to be medically necessary
C. establish the guidelines used to determine if Arbor is the primary payor of benefits in a situation in which an Arbor plan member is covered by more than one health plan
D. require Dr. Patel to accept Arbor's payment as payment in full for medical services that he provides to Arbor plan members 

Question # 3

In health plan pharmacy networks, service costs consist of two components: costs for services associated with dispensing prescription drugs and costs for cognitive services. Cognitive services typically include:

A. making generic substitutions of drugs
B. counseling patients about prescriptions
C. providing patient monitoring
D. switching prescription drugs to preferred drugs

Question # 4

The following statement(s) can correctly be made about contracting and reimbursement of specialty care physicians (SCPs):

A. Typically, a health plan should attempt to control utilization of SCPs before attempting to place these providers under a capitation arrangement.
B. Forms of specialty physician reimbursement used by health plans include a retainer and a bundled case rate.
C. Both A and B
D. A only
E. B only
F. Neither A nor B

Question # 5

From the following answer choices, choose the type of clause or provision described in this situation.The provider contract between Dr. Olin Norquist and the Granite Health Plan specifies a time period for the party who has breached the contract to remedy the problem and avoid termination of the contract. 

A. Cure provision
B. Hold-harmless provision
C. Evergreen clause
D. Exculpation clause

Question # 6

A provider contract describes the responsibilities of each party to the contract. These responsibilities can be divided into provider responsibilities, health plan responsibilities, and mutual obligations. Mutual obligations typically include

A. provisions for marketing the plan’s product
B. payment arrangements between the plan and the provider
C. verification of the plan’s eligibility to do business
D. management of the contents of members’ medical records