Higher Test Marks with Free Online AHM-540 Exam Practice

Assess the CertsIQ’s updated AHM-540 exam questions for free online practice of your Medical Management (AHM540) test. Our AHM 540 dumps questions will enhance your chances of passing the AHIP Certification certification exam with higher marks.

Exam Code: AHM-540
Exam Questions: 165
Medical Management (AHM540)
Updated: 04 Jun, 2025
Question 1

For this question, if answer choices (A) through (C) are all correct, select answer choice (D). Otherwise, select the one correct answer choice. The QAPI (Quality Assessment Performance Improvement Program) is a Centers for Medicaid and Medicare Services (CMS) initiative designed to strengthen health plans’ efforts to protect and improve the health and satisfaction of Medicare beneficiaries. QAPI quality assessment standards apply to

Options :
Answer: D

Question 2

Comorbidity can have a significant impact on the effective implementation of disease management programs. Comorbidity can correctly be defined as the

Options :
Answer: D

Question 3

Health plans that choose to contract with external organizations for pharmacy services typically

contract with pharmacy benefit managers (PBMs). Functions that a PBM typically performs for a

health plan include

1. Managing the costs of prescription drugs

2. Promoting efficient and safe drug use

3. Determining the health plan’s internal management responsibilities for pharmacy services

Options :
Answer: B

Question 4

Increased demands for performance information have resulted in the development of various health plan report cards. With respect to most of the report cards currently available, it is correct to say  

Options :
Answer: D

Question 5

Examples of alternative healthcare practitioners are chiropractors, naturopaths, and acupuncturists. The only well-established credentialing standards for alternative healthcare practitioners are those available from NCQ A. These NCQA credentialing standards apply to 

Options :
Answer: A

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