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Health Plan Finance and Risk Management AHM-520 Exam
Health Plan Finance and Risk Management AHM-520 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-520 Exam validates candidate has the ability to get a comprehensive look at the Health Insurance Plan Fund. This exam also verifies the candidate has a strong understanding of financial management techniques, funds, risk management, provider payment, project risk, pricing, care, and rating methods.
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Who should take the AHM-520 exam
- Case administrators and medical directors who inquire a broader administrative background
- Teachers at the school level who teach health care administration
- 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
- 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
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How much AHM-520 Exam Cost
The price of the AHM-510 exam is 220 USD for AHIP members and 280 USD for non-members.
What is the duration of the AHM-520 Exam
- Number of Questions: 215
- Format: Multiple choices, multiple answers
- Length of Examination: 90 minutes
Reference: https://www.ahip.org/courses/health-plan-finance-and-risk-management-ahm520
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AHIP AHM-520 Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Provider Payment Models | - Value-based payment
|
| Risk Assessment and Risk Management | - Risk identification and evaluation
|
| Actuarial Principles and Forecasting | - Forecasting methods
|
| Claims Analysis and Utilization Management | - Claims data analysis
|
| Regulatory and Compliance Framework | - Healthcare regulations
|
| Health Plan Financial Structures | - Revenue sources and premium development
|
| Medical Loss Ratio and Compliance | - Medical Loss Ratio concepts
|
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