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AHIP AHM-510 Exam Topics, Blueprint and Syllabus

Governance and Regulation

Last Update September 18, 2024
Total Questions : 76

Our AHIP Certification AHM-510 exam questions and answers cover all the topics of the latest Governance and Regulation exam, See the topics listed below. We also provide AHIP AHM-510 exam dumps with accurate exam content to help you prepare for the exam quickly and easily. Additionally, we offer a range of AHIP AHM-510 resources to help you understand the topics covered in the exam, such as AHIP Certification video tutorials, AHM-510 study guides, and AHM-510 practice exams. With these resources, you can develop a better understanding of the topics covered in the exam and be better prepared for success.

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AHIP AHM-510 Exam Overview :

Exam Name Governance and Regulation
Exam Code AHM-510
Actual Exam Duration The AHIP AHM-510 exam is a 90-minute exam consisting of 75 multiple-choice questions.
Expected no. of Questions in Actual Exam 60
What exam is all about AHIP AHM-510 is a certification exam for health insurance professionals. It is designed to test the knowledge and skills of individuals who work in the health insurance industry. The exam covers topics such as health insurance regulations, health care reform, health insurance products, and health care delivery systems.
Passing Score required The passing score required for the AHIP AHM-510 exam is 80%.
Competency Level required The AHIP AHM-510 exam is designed to assess the knowledge and skills of individuals who are seeking to become certified as a Health Insurance Professional. The exam covers topics such as health insurance plans, benefits, and regulations. To pass the exam, individuals must demonstrate a basic understanding of the health insurance industry and demonstrate the ability to apply the knowledge to real-world scenarios. The minimum competency level required to pass the AHIP AHM-510 exam is a high school diploma or equivalent.
Questions Format The AHIP AHM-510 exam consists of multiple-choice questions.
Delivery of Exam The AHIP AHM-510 exam is offered in two formats: online and paper-based. The online version of the exam is administered through the AHIP website and requires a computer with an internet connection. The paper-based version of the exam is administered at a designated testing center and requires the candidate to bring a valid photo ID.
Language offered The AHIP AHM-510 exam is offered in English.
Cost of exam The cost of the AHIP AHM-510 exam is $199.
Target Audience The target audience for the AHIP AHM-510 course is healthcare professionals, including physicians, nurses, and other healthcare providers. The course is designed to help healthcare professionals understand the fundamentals of health insurance and how to effectively manage their patients' health insurance plans. The course also provides an overview of the Affordable Care Act and its implications for healthcare providers.
Average Salary in Market The average salary for someone with AHIP AHM-510 certification varies depending on the individual's experience and the industry they work in. Generally, those with AHIP AHM-510 certification can expect to earn an average salary of around $60,000 to $80,000 per year.
Testing Provider The American Health Insurance Plans (AHIP) does not provide AHM-510 exams for testing. AHIP does offer AHM-510 certification, but the exam must be taken through an approved testing center.
Recommended Experience The AHIP AHM-510 exam is designed for individuals who have at least two years of experience in health insurance and/or managed care. It is recommended that individuals have a working knowledge of health insurance and managed care concepts, including the Affordable Care Act, Medicare, Medicaid, and other health insurance products. Additionally, it is recommended that individuals have a basic understanding of medical terminology, coding, and billing.
Prerequisite The AHIP AHM-510 exam requires that you have a minimum of two years of experience in health insurance or related fields. Additionally, you must have a basic understanding of health insurance concepts, including managed care, provider networks, and health care reform.
Retirement (If Applicable) The AHIP AHM-510 exam does not have an expected retirement date.
Certification Track (RoadMap): AHIP AHM-510 is a certification exam offered by the American Health Insurance Plans (AHIP). It is designed to assess the knowledge and skills of healthcare professionals in the areas of health insurance, health care delivery, and health care finance. The exam covers topics such as health insurance plans, health care delivery systems, health care financing, and health care reform. The exam is divided into two parts: the AHIP AHM-510 Core Exam and the AHIP AHM-510 Advanced Exam. The Core Exam is designed to assess the basic knowledge and skills of healthcare professionals, while the Advanced Exam is designed to assess the more advanced knowledge and skills of healthcare professionals.
Official Information https://www.ahip.org/course/governance-and-regulation-ahm-510/
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AHIP AHM-510 Exam Topics :

Section Weight Objectives
Objective 1:  
  • Explore factors shaping the health insurance industry, its formation, types of insurance, and structure
Objective 2:  
  • Understand how health insurance providers use reorganization, reengineering, and strategic planning to improve performance
Objective 3:  
  • Examine legal issues faced by health insurance providers in a post-reform environment
Objective 4:  
  • Understand the legal issues surrounding ERISA, pharmacy benefits, and wellness
Objective 5:  
  • Delve into federal and state regulatory requirements that affect health insurance providers
Objective 6:  
  • Learn the role of the federal government as a purchaser of health care benefits
Objective 7:  
  • Dig deep into the role of health insurance providers in providing services to both Medicare and Medicaid enrollees
Objective 8:  
  • Analyze how fraud and abuse affect health care’s cost and quality
Objective 9  
  • Explore how health insurance providers use organizational control systems to build internal structures that meet external demands for accountability
Objective 10:  
  • Review relevant terms, industry issues, case scenarios and concepts