Network Management: AHM-530 Exam


"Network Management", also known as AHM-530 exam, is a AHIP Certification. With the complete collection of questions and answers, ExamcollectionPass has assembled to take you through 202 Q&As to your AHM-530 Exam preparation. In the AHM-530 exam resources, you will cover every field and category in AHIP Certification Certification helping to ready you for your successful AHIP Certification.

  • Exam Code: AHM-530
  • Exam Name: Network Management
  • Total Questions: 202

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Network Management AHM-530 Exam

Network Management AHM-530 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-530 Exam validates candidate has knowledge about the network management function in health insurance plans. This exam also verifies the candidate has a strong understanding of network development strategies such as risk management, recruiting, selection and contracting and network maintenance strategies such as managing provider performance and feedback.

What is the duration of the AHM-530 Exam

  • Format: Multiple choices, multiple answers
  • Number of Questions: 202
  • Length of Examination: 120 minutes

Reference: https://www.ahip.org/courses/network-management-ahm530

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Who should take the AHM-530 exam

  • Financial executives working with clients looking to maximize their health dollars
  • Agents and brokers who expert in life and health insurance
  • 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
  • Medical management employees working in hospitals, health systems, and, health insurance plans
  • Case administrators and medical directors who inquire a broader administrative background

The benefit in Obtaining the AHM-530 Exam Certification

  • Candidates can get knowledge and skills that help them to succeed in the rapidly changing and evolving healthcare industry.
  • Candidates can learn unique complexities associated with health plans and being the update in knowledge with the latest trends, developments, and practices.
  • By passing in Network Management AHM-530 Exam, Candidates can be participating in a new and exciting course. Candidate's participation will signify their commitment to professionalism.
  • By passing the AHM-530 exam will give candidates a sense of personal accomplishment and the respect of colleagues in their organization and throughout the industry.
  • By passing, AHM-530 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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AHIP AHM-530 Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Scope and Organization of Network Management20%- Network strategy alignment with organizational goals
- Role and function within health plans
Topic 2: Provider Selection and Credentialing20%- Credentialing and recredentialing standards
- Selection criteria and processes
Topic 3: Network Adequacy and Performance Monitoring8%- Ongoing network evaluation and maintenance
- Access, quality, and capacity metrics
Topic 4: Provider Contracts and Compensation25%- Contract terms, obligations, and legal requirements
- Reimbursement models: FFS, capitation, bundled payments
Topic 5: Specialist and Facility Network Management15%- Hospital, ancillary, and facility network management
- Specialist network design and contracting
Topic 6: Government Program Network Requirements12%- Medicaid and workers’ compensation network standards
- Medicare network adequacy rules

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