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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:
- Key legal issues in health plans
- Important factors shaping the environment of the health plan industry
- Federal and state regulatory requirements that effect health plans
Reference: https://www.ahip.org/course/governance-and-regulation-ahm-510/
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AHIP AHM-510 Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Government Healthcare Programs | - Medicare program structure and requirements - Federal government role as purchaser of health benefits - Medicaid program structure and requirements |
| Health Insurance Industry Environment and Structure | - Strategic planning, reorganization, and performance improvement - Factors shaping the health insurance industry - Formation, types, and structure of health plans |
| Legal and Regulatory Framework | - ERISA, pharmacy benefits, and wellness program regulations - Key legal issues in post-healthcare reform environment - Federal and state regulatory compliance requirements |
| Governance, Compliance, and Integrity | - Accountability and regulatory reporting standards - Organizational governance and internal control systems - Fraud, waste, and abuse prevention and detection |
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