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AHIP Governance and Regulation : AHM-510

AHM-510 Exam Simulator
  • Exam Code: AHM-510
  • Exam Name: Governance and Regulation
  • Updated: Sep 08, 2025
  • Q & A: 76 Questions and Answers
  • AHIP AHM-510 Q&A - in .pdf

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About AHIP AHM-510 Exam Simulator

AHIP AHM-510 Exam Syllabus Topics:

TopicDetails
Topic 1
  • Delve into federal and state regulatory requirements that affect health insurance providers
  • Analyze how fraud and abuse affect health care’s cost and quality
Topic 2
  • Understand how health insurance providers use reorganization, reengineering, and strategic planning to improve performance
Topic 3
  • Explore how health insurance providers use organizational control systems to build internal structures that meet external demands for accountability
Topic 4
  • Review relevant terms, industry issues, case scenarios and concepts
  • Understand the legal issues surrounding ERISA, pharmacy benefits, and wellness
Topic 5
  • Learn the role of the federal government as a purchaser of health care benefits
  • Explore factors shaping the health insurance industry, its formation, types of insurance, and structure

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

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  • 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
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