AHIP AHM-510 Exam Topics

AHIP AHM-510 Exam Overview :

Exam Name:	Governance, Legal Issues, Medicare and Medicaid
Exam Code:	AHM-510
Certifications:	AHIP Managed Healthcare Professional Certification
Actual Exam Duration:	90 minutes
Expected no. of Questions in Actual Exam:	60
See Expected Questions:	AHIP AHM-510 Expected Questions in Actual Exam

AHIP AHM-510 Exam Objectives :

Section	Objectives
Objective 1:	Explore factors shaping the health insurance industry, its formation, types of insurance, and structure
Objective 2:	Understand how health insurance providers use reorganization, reengineering, and strategic planning to improve performance
Objective 3:	Examine legal issues faced by health insurance providers in a post-reform environment
Objective 4:	Understand the legal issues surrounding ERISA, pharmacy benefits, and wellness
Objective 5:	Delve into federal and state regulatory requirements that affect health insurance providers
Objective 6:	Learn the role of the federal government as a purchaser of health care benefits
Objective 7:	Dig deep into the role of health insurance providers in providing services to both Medicare and Medicaid enrollees
Objective 8:	Analyze how fraud and abuse affect health care’s cost and quality
Objective 9	Explore how health insurance providers use organizational control systems to build internal structures that meet external demands for accountability
Objective 10:	Review relevant terms, industry issues, case scenarios and concepts
Official Information	https://www.ahip.org/course/governance-and-regulation-ahm-510/

Updates in the AHIP AHM-510 Exam Topics:

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