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"Governance and Regulation", also known as AHM-510 exam, is a AHIP Certification. With the complete collection of questions and answers, ExamcollectionPass has assembled to take you through 76 Q&As to your AHM-510 Exam preparation. In the AHM-510 exam resources, you will cover every field and category in AHIP Certification Certification helping to ready you for your successful AHIP Certification.
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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/
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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 price of the AHM-510 exam is 220 USD for AHIP members and 280 USD for non-members.
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| Section | Objectives |
|---|---|
| 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 - Fraud, waste, and abuse prevention and detection - Organizational governance and internal control systems |
| Government Healthcare Programs | - Medicare program structure and requirements - Medicaid program structure and requirements - Federal government role as purchaser of health benefits |
| Health Insurance Industry Environment and Structure | - Factors shaping the health insurance industry - Strategic planning, reorganization, and performance improvement - Formation, types, and structure of health plans |
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