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AHIP AHM-540 Exam Questions

Exam Name: AHM Medical Management
Exam Code: AHM-540
Related Certification(s): AHIP Network Management Certification
Certification Provider: AHIP
Actual Exam Duration: 120 Minutes
Number of AHM-540 practice questions in our database: 163 (updated: Nov. 18, 2024)
Expected AHM-540 Exam Topics, as suggested by AHIP :
  • Topic 1: Identify how and why a delegation is used in medical management/ Quality management methods—measurement and improvements
  • Topic 2: Recognize how medical management is used to deliver Medicare and Medicaid services/ Explore strategies for managing complex individual cases
  • Topic 3: Understand role of medical management in health insurance provider organizations/ Recognize the importance of preventive care and self-care programs
  • Topic 4: Examine the role of medical management in providing pharmacy services/ Learn how medical management is used in different types of care
  • Topic 5: Understand disease management—its purpose, processes, and programs
Disscuss AHIP AHM-540 Topics, Questions or Ask Anything Related
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Florencia

5 days ago
I’m happy to announce that I passed the AHIP AHM Medical Management exam, and the Pass4Success practice questions were a big help. One question that puzzled me was about the principles of evidence-based medicine. I wasn't sure if the focus should be on clinical guidelines or on individual patient preferences. Nevertheless, I passed the exam.
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Ena

7 days ago
Thank you so much for all your insights and tips. I feel much more prepared now for what to expect on the exam.
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Ria

13 days ago
Passed my AHM certification! Pass4Success helped me prepare in record time. Highly recommend their study materials!
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Timmy

20 days ago
Passing the AHIP AHM Medical Management exam was a great achievement for me, and the Pass4Success practice questions were instrumental in my success. There was a challenging question about the different levels of care in disease management programs. I was torn between selecting primary care coordination or specialized care management as the most critical level. Despite this, I still passed the exam.
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Erasmo

1 months ago
My final advice would be to practice with timed mock exams. This helped me manage my time effectively during the actual test. And again, I can't stress enough how helpful Pass4Success was in my preparation. Good luck with your studies!
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Adell

1 months ago
I’m thrilled to share that I passed the AHIP AHM Medical Management exam, thanks in large part to the Pass4Success practice questions. One question that caught me off guard was related to quality management and the use of performance metrics. I wasn't entirely sure if the emphasis should be on patient satisfaction scores or clinical outcomes, but I managed to get through the exam successfully.
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Sheridan

1 months ago
Whew, that exam was tough! Glad I used Pass4Success materials. Their questions were incredibly similar to the real thing.
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Ollie

2 months ago
I'll definitely cover that. Thanks so much for all your insights!
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Irving

2 months ago
Having just passed the AHIP AHM Medical Management exam, I can confidently say that the Pass4Success practice questions were a lifesaver. There was one tricky question about the role of case management in coordinating care for chronic disease patients. I debated whether the primary focus should be on patient education or on coordinating with multiple healthcare providers. Despite my uncertainty, I still passed the exam.
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Peggy

2 months ago
You're welcome! Best of luck with your exam preparation. Remember, understanding the interconnectedness of all these topics in medical management is key to success.
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Aileen

2 months ago
I just passed the AHIP AHM Medical Management exam, and I have to say, the Pass4Success practice questions were incredibly helpful. One question that stumped me was about the utilization management process, specifically how to handle a case where a patient needs an experimental treatment. I wasn't sure if the correct answer was to deny the request outright or to refer it for a peer review, but I managed to pass the exam regardless.
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Glenn

2 months ago
Just passed the AHIP AHM Medical Management exam! So relieved. Thanks Pass4Success for the spot-on practice questions!
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Laticia

3 months ago
Passing the AHIP AHM Medical Management exam was a great achievement for me, thanks to the practice questions provided by Pass4Success. The exam covered topics such as quality management methods and strategies for managing complex individual cases. One question that I remember being unsure about was related to measurement and improvements in quality management. Despite my uncertainty, I successfully passed the exam.
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Dominga

4 months ago
My experience taking the AHIP AHM Medical Management exam was successful as I passed with the assistance of Pass4Success practice questions. The exam included topics like medical management for Medicare and Medicaid services. One question that challenged me was about how medical management is used to deliver Medicare and Medicaid services. Despite my uncertainty, I managed to pass the exam.
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Daryl

5 months ago
Just passed the AHIM Medical Management exam! A key topic was utilization management. Expect questions on the steps of the UM process and how to evaluate medical necessity. Study evidence-based guidelines and criteria sets. Thanks to Pass4Success for the spot-on practice questions that helped me prepare efficiently!
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Rolande

5 months ago
I recently passed the AHIP AHM Medical Management exam with the help of Pass4Success practice questions. The exam covered topics such as delegation in medical management and quality management methods. One question that stood out to me was related to strategies for managing complex individual cases. Despite being unsure of the answer, I was able to pass the exam.
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Free AHIP AHM-540 Exam Actual Questions

Note: Premium Questions for AHM-540 were last updated On Nov. 18, 2024 (see below)

Question #1

Adele Stanley, a member of the Greenhouse Health Plan, recently went to a network pharmacy to have a prescription filled. The pharmacist informed Ms. Stanley that the prescribed drug was not in the plan formulary and that reimbursement for the drug was not available except in extraordinary circumstances. The pharmacist asked Ms. Stanley if she would accept a generic substitute.

If Ms. Stanley agrees to the generic substitution, she will receive a drug that

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Correct Answer: D

Question #2

Occasionally, employers combine workers' compensation, group healthcare, and disability programs into an integrated product known as 24-hour coverage. One true statement about 24hour coverage is that it typically

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Correct Answer: D

Question #3

All states have laws describing the conditions under which pharmacists can substitute a generic drug for a brand-name drug. With respect to these laws, it is correct to say that in every state,

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Correct Answer: D

Question #4

PBMs are accredited by the same organizations that accredit health plans.

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Correct Answer: B

Question #5

One way that health plans can make their benefits more appealing to employers and employees is to offer coverage for specialty services. It is correct to say that specialty services typically

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Correct Answer: D

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