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What is the duration of the AHM-510 Exam

  • Length of Examination: 90 minutes
  • Format: Multiple choices, multiple answers
  • Number of Questions: 76

Who should take the AHM-510 exam

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

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  • Candidates can get knowledge and skills that help them to succeed in the rapidly changing and evolving healthcare industry.
  • Candidates can learn unique complexities associated with health plans and being the update in knowledge with the latest trends, developments, and practices.
  • By passing, AHM-510 exam candidate can add a new dimension to his career experience and distinguish himself as a person who is knowledgeable about the environment, products, operations, and issues of the health insurance plan industry.
  • By passing in Governance and Regulation AHM-510 Exam, Candidates can be participating in a new and exciting course. Candidate's participation will signify their commitment to professionalism.
  • By passing the AHM-510 exam will give candidates a sense of personal accomplishment and the respect of colleagues in their organization and throughout the industry.

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

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AHIP AHM-510 Exam Syllabus Topics:

SectionObjectives
Topic 1: Legal and Regulatory Framework- ERISA, pharmacy benefits, and wellness program regulations
- Key legal issues in post-healthcare reform environment
- Federal and state regulatory compliance requirements
Topic 2: Governance, Compliance, and Integrity- Organizational governance and internal control systems
- Accountability and regulatory reporting standards
- Fraud, waste, and abuse prevention and detection
Topic 3: Government Healthcare Programs- Medicaid program structure and requirements
- Federal government role as purchaser of health benefits
- Medicare program structure and requirements
Topic 4: Health Insurance Industry Environment and Structure- Factors shaping the health insurance industry
- Strategic planning, reorganization, and performance improvement
- Formation, types, and structure of health plans

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