Free AHIP AHM-540 Exam Questions

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

Health plans that offer healthcare programs for Medicare beneficiaries have a strong financial incentive for identifying high-risk seniors as early as possible. The identification of high-risk seniors is typically accomplished through the use of 

Benchmarking is a quality improvement strategy used by some health plans. With regard to benchmarking, it is correct to say that 

Demetrius Farrell, age 82, is suffering from a terminal illness and has consulted his health planabout the care options available to him. In order to avoid unwanted, futile interventions, Mr. Farrellsigned an advance directive that indicates the types of end-of-life medical treatment he wants toreceive. His family is to use this document as a guide should Mr. Farrell become incapacitated.For this question, if answer choices (A) through (C) are all correct, select answer choice (D).Otherwise, select the one correct answer choice.Decisions regarding Mr. Farrell’s end-of-life care are legally the right and responsibility of 

Helena Ray, a member of the Harbrace Health Plan, suffers from migraine headaches. To treatMs. Ray’s condition, her physician has prescribed Upzil, a medication that has Food and DrugAdministration (FDA) approval only for the treatment of depression. Upzil has not been tested forsafety or effectiveness in the treatment of migraine headache. Although Harbrace’s medical policyfor migraine headache does not include coverage of Upzil, Harbrace has agreed to provide extracontractualcoverage of Upzil for Ms. Ray.In this situation, the prescribing of Upzil for Ms. Ray’s headaches is an example of