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AHM-510 Exam topics

Candidates must know the exam topics before they start of preparation. Because it will really help them in hitting the core. Our AHM-510 exam dumps will include the following topics:

  • Federal and state regulatory requirements that effect health plans
  • Important factors shaping the environment of the health plan industry
  • Key legal issues in health plans

Who should take the AHM-510 exam

  • Case administrators and medical directors who inquire a broader administrative background
  • Agents and brokers who expert in life and health insurance
  • Medical management employees working in hospitals, health systems, and, health insurance plans
  • Employees who work for health care providers or health insurance plans and want to get the educational background to proceed with a management position in the industry
  • candidate who possesses the professional experience in AHIP Governance is eligible for this exam
  • Teachers at the school level who teach health care administration
  • Financial executives working with clients looking to maximize their health dollars

Reference: https://www.ahip.org/course/governance-and-regulation-ahm-510/

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AHIP AHM-510 Exam Syllabus Topics:

SectionObjectives
Health Insurance Industry Environment and Structure- Strategic planning, reorganization, and performance improvement
- Formation, types, and structure of health plans
- Factors shaping the health insurance industry
Governance, Compliance, and Integrity- Fraud, waste, and abuse prevention and detection
- Organizational governance and internal control systems
- Accountability and regulatory reporting standards
Legal and Regulatory Framework- Federal and state regulatory compliance requirements
- ERISA, pharmacy benefits, and wellness program regulations
- Key legal issues in post-healthcare reform environment
Government Healthcare Programs- Federal government role as purchaser of health benefits
- Medicare program structure and requirements
- Medicaid program structure and requirements

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