AHM-520 Sample Questions & Answers

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

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

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

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

The Challenger Group is a type of management services organization (MSO) that purchases the assets of physician practices, provides practice management and administrative support services to participating providers, and offers physicians a long-term contract and an equity position in Challenger.This information indicates that Challenger is a type of health plan: A.Known asB.An integrated delivery system (IDS)C.A medical foundationD.A provider-sponsored organization (PSO)E.A physician practice management (PPM) company