AHIP AHM-520 Exam Dumps

AHIP AHM-520 Exam Dumps

Health Plan Finance and Risk Management

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Total Questions : 215
Update Date : February 22, 2024
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What is AHIP AHM-520 Exam ?

The AHIP AHM-520 Exam, or Health Plan Finance and Risk Management, is a self-study exam that is offered by the American Health Information Management Association (AHIMA). The exam is designed to assess candidates' knowledge of the financial and risk management aspects of health plans, including the following topics:

Health plan financial statements
Health plan revenue and expense management
Health plan investments and financing
Health plan risk management
Health plan compliance with regulations

The AHM-520 Exam is a 3-hour exam that is divided into 100 multiple-choice questions. The exam is scored on a scale of 100 to 900, and a passing score is 650.

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AHM-520 Sample Question Answers

Question 1

The Raven Health Plan is domiciled in a state that requires the health plan to offer small employers and their employees a comprehensive healthcare benefit plan that approximates the healthcare benefits available to large employer-employee groups. This type of uniform benefit plan is known as: 

A. A basic plan
B. A low-option plan
C. A standard plan
D. An essential plan



Question 2

A health plan can use cost accounting in order to

A. Determine premium rates for its products
B. Match the costs incurred during a given accounting period to the income earned in, or attributed to, that same period
C. Both A and B
D. A only
E. B only
F. Neither A nor B



Question 3

The Essential Health Plan markets a product for which it assumed total expenses to equal 92% of premiums. Actual data relating to this product indicate that expenses equal 89% of premiums. This information indicates that the expense margin for this product has: 

A. a 3% favorable deviation
B. a 3% adverse deviation
C. an 11% favorable deviation
D. an 11% adverse deviation



Question 4

The Caribou health plan is a for-profit organization. The financial statements that Caribou prepares include balance sheets, income statements, and cash flow statements. To prepare its cash flow statement, Caribou begins with the net income figure as reported on its income statement and then reconciles this amount to operating cash flows through a series of adjustments. Changes in Caribou's cash flow occur as a result of the health plan's operating activities, investing activities, and financing activities. To prepare its cash flow statement, Caribou uses the direct method rather than the indirect method.

A. True
B. False



Question 5

With regard to the Medicaid program in the United States, it can correctly be stated that

A. The federal government provides none of the funding for state Medicaid programs 
B. Federal Medicaid law is different from Medicare law in that the federal government explicitly sets forth the methodology for payment of Medicaid-contracting plans but not Medicare-contracting plans
C. A state's payment to health plans for providing Medicaid services cannot be more than it would have cost the state to provide the services under Medicaid fee-for-service (FFS)
D. States are prohibited from carving out specific services from the capitation rate that health plans receive for providing Medicaid services



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