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Governance and Regulation AHM-510 Exam

Governance and Regulation AHM-510 Exam is designed by the Academy of Health Care Administration (AHM) and sponsored by the US Health Insurance Plans and the Blue Cross Blue Shield Association. AHM is a self-study examination based program. AHM-510 Exam validates candidate has the knowledge of types, and structure of health management organizations. This exam also verifies the candidate has a strong understanding of the role of healthcare administration in government-sponsored programs, such as Medicare and Medicaid. Candidates also know about the overall purpose and direction of healthcare management, the impact of fraud and abuse, and the role of public policy. In addition, the Candidate must have the ability to handle legal issues related to ERISA, pharmacy benefits, and wellness programs.

The benefit in Obtaining the AHM-510 Exam Certification

  • Candidates can learn unique complexities associated with health plans and being the update in knowledge with the latest trends, developments, and practices.
  • 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.
  • Candidates can get knowledge and skills that help them to succeed in the rapidly changing and evolving healthcare 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, 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.

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Certification Path

The Governance and Regulation AHM-510 Exam certification path includes only one AHM-510 certification exam.

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

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
  • Key legal issues in health plans
  • Important factors shaping the environment of the health plan industry

AHIP AHM-510 Exam Syllabus Topics:

SectionObjectives
Regulatory Environment in Health Insurance- Federal regulation
  • 1. ERISA regulations
    • 2. Affordable Care Act (ACA) requirements
      • 3. HIPAA privacy and security rules
        - State regulation
        • 1. State benefit mandates
          • 2. State insurance commissioners and oversight
            Health Insurance Governance Framework- Corporate governance structures
            • 1. Organizational governance models
              • 2. Risk management governance
                - Roles and responsibilities of governing bodies
                • 1. Board oversight and fiduciary duties
                  • 2. Executive management accountability
                    Compliance and Legal Requirements- Compliance programs
                    • 1. Internal compliance monitoring
                      • 2. Fraud, waste, and abuse prevention
                        - Legal and ethical obligations
                        • 1. Consumer protection requirements
                          • 2. Ethical standards in insurance operations

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