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AHIP AHM-530 Exam Topics

AHIP AHM-530 Exam Overview :

Exam Name: Network Management
Exam Code: AHM-530
Certifications: AHIP Network Management Certification
Actual Exam Duration: 120 minutes
Expected no. of Questions in Actual Exam: 90
See Expected Questions: AHIP AHM-530 Expected Questions in Actual Exam

AHIP AHM-530 Exam Objectives :

Section Objectives
Objective 1:
  •     Gain a detailed understanding of the scope and organization of the network management function within health insurance provider organizations
Objective 2:
  •     Learn the process for network provider selection
Objective 3:
  •     Master the essential elements of a contractual relationship between health insurance providers and health care providers
Objective 4:
  •     Identify the primary responsibilities and obligations of health insurance providers and health care providers under a provider contract
Objective 5:
  •     Map out how health insurance providers select, contract with, and compensate specialists and health care facilities
Objective 6:
  •     Recognize special requirements that affect network management for Medicare, Medicaid, and workers’ compensation networks
Objective 7:
  •    Explore how health insurance providers ensure their provider networks remain adequate to meet member needs
Official Information https://www.ahip.org/courses/network-management-ahm530

Updates in the AHIP AHM-530 Exam Topics:

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