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AHIP Governance and Regulation : AHM-510 Exam

AHM-510 actual test
  • Exam Code: AHM-510
  • Exam Name: Governance and Regulation
  • Updated: Sep 12, 2026
  • Q & A: 76 Questions and Answers
  • PDF Demo
  • PC Test Engine
  • Online Test Engine
  • Total Price: $59.99  

About AHIP Governance and Regulation : AHM-510 Exam

Who should take the AHM-510 exam

  • Teachers at the school level who teach health care administration
  • Case administrators and medical directors who inquire a broader administrative background
  • Medical management employees working in hospitals, health systems, and, health insurance plans
  • candidate who possesses the professional experience in AHIP Governance is eligible for this exam
  • Financial executives working with clients looking to maximize their health dollars
  • Agents and brokers who expert in life and health insurance
  • 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

The benefit in Obtaining the AHM-510 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 the AHM-510 exam will give candidates a sense of personal accomplishment and the respect of colleagues in their organization and throughout the industry.
  • 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.
  • 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.

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

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AHIP AHM-510 Exam Syllabus Topics:

SectionObjectives
Topic 1: Governance and Organizational Control- Corporate governance
  • 1. Corporate ethics and compliance culture
    • 2. Executive leadership and accountability
      • 3. Board of directors roles and fiduciary responsibilities
        - Organizational management
        • 1. Strategic planning
          • 2. Organizational control systems
            • 3. Reorganization and reengineering
              Topic 2: Legal Issues in Health Care Management- Health care law and regulation
              • 1. ERISA-related legal issues
                • 2. Liability and negligence
                  • 3. Antitrust considerations
                    • 4. Contract law
                      - Privacy and compliance
                      • 1. Fraud, waste, and abuse prevention
                        • 2. Security and confidentiality of health information
                          • 3. HIPAA privacy requirements
                            Topic 3: Health Care Management Organizations and Industry Structure- Formation and evolution of health care management organizations
                            • 1. Factors shaping the health insurance industry
                              • 2. History and development of managed care
                                • 3. Types of health plans and organizational structures
                                  Topic 4: Government Programs and Public Policy- Public policy and regulation
                                  • 1. Government as a purchaser of health care
                                    • 2. Federal and state regulatory requirements
                                      • 3. Health care reform and regulatory trends
                                        - Medicaid
                                        • 1. Managed Medicaid models
                                          • 2. Program administration
                                            - Medicare
                                            • 1. Role of managed care organizations
                                              • 2. Program structure and benefits

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