← Back to exam page

AHM-540 – Medical Management

Loading demo links...

Showing 1–3 of 10 questions

Question 1

Nilay Sharma suffered a small wound while working in his yard and was taken to a local hospital for treatment. A triage nurse at the hospital evaluated Mr. Sharma’s condition and directed him to an outpatient unit in the hospital where a physician assistant examined, cleaned, and sutured the wound. Mr. Sharma returned home following treatment. The care Mr. Sharma received at the hospital is an example of the type of care known as

Select an option, then click Submit answer.

  • ○

    specialty referral

  • ○

    primary prevention

  • ○

    urgent care

  • ○

    emergency care
Question 2

The Harbor Health Plan’s formulary policy encourages network pharmacists who are asked to fill a prescription for a costly, brand-name drug to dispense a different chemical entity within the same drug class in order to reduce costs. This type of drug substitution is referred to as

Select an option, then click Submit answer.

  • ○

    generic substitution, and prescriber approval is not required

  • ○

    generic substitution, and prescriber approval is always required

  • ○

    therapeutic substitution, and prescriber approval is not required

  • ○

    therapeutic substitution, and prescriber approval is always required
Question 3

Economically, health plans cannot provide coverage for every drug available from every manufacturer. As a result, purchaser contracts often include provisions specifying that certain drugs or drug types will not be covered. These provisions are referred to as

Select an option, then click Submit answer.

  • ○

    limitations

  • ○

    exceptions

  • ○

    exclusions

  • ○

    drug edits