Get All AHM Medical Management Exam Questions with Validated Answers
| Vendor: | AHIP |
|---|---|
| Exam Code: | AHM-540 |
| Exam Name: | AHM Medical Management |
| Exam Questions: | 163 |
| Last Updated: | November 21, 2025 |
| Related Certifications: | Network Management |
| Exam Tags: | AHIP Management |
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Determine whether the following statement is true or false:
The utilization review (UR) process produces the greatest number of case management referrals.
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
The following statements are about the use of provider profiling for pharmacy benefits. Three of the statements are true and one is false. Select the answer choice containing the FALSE statement.
This agency has authority over Programs of All-inclusive Care for the Elderly (PACE) and the State Children's Health Insurance Program (SCHIP).
The following statements are about chronic and disabling conditions among children eligible for Medicaid. Three of the statements are true and one is false. Select the answer choice containing the FALSE statement.
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