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AHIP AHM-520 Exam Topics, Blueprint and Syllabus

Health Plan Finance and Risk Management

Last Update November 23, 2024
Total Questions : 215

Our AHIP Certification AHM-520 exam questions and answers cover all the topics of the latest Health Plan Finance and Risk Management exam, See the topics listed below. We also provide AHIP AHM-520 exam dumps with accurate exam content to help you prepare for the exam quickly and easily. Additionally, we offer a range of AHIP AHM-520 resources to help you understand the topics covered in the exam, such as AHIP Certification video tutorials, AHM-520 study guides, and AHM-520 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-520 Exam Overview :

Exam Name Health Plan Finance and Risk Management
Exam Code AHM-520
Actual Exam Duration The duration of the AHIP AHM-520 exam is 90 minutes (1.5 hours).
Expected no. of Questions in Actual Exam 60
What exam is all about AHIP AHM-520 is an exam that tests the knowledge and skills of healthcare professionals in the areas of healthcare management and leadership. The exam covers topics such as healthcare finance, healthcare delivery systems, healthcare laws and regulations, healthcare quality improvement, and healthcare information technology. The AHIP AHM-520 exam is designed to assess the competency of healthcare professionals in managing and leading healthcare organizations, and passing the exam is often a requirement for healthcare management and leadership positions.
Passing Score required The passing score for AHIP exams typically ranges from 65% to 70%. It is best to check with the AHIP website or contact their customer service for the most up-to-date information on passing scores.
Competency Level required I can provide you with some general information about the exam. AHIP AHM-520 Exam is designed for healthcare professionals who want to enhance their knowledge and skills in healthcare management. The exam covers various topics related to healthcare management, including healthcare finance, healthcare delivery systems, healthcare laws and regulations, healthcare quality management, and healthcare information technology. To pass the AHIP AHM-520 Exam, you need to have a good understanding of these topics and their applications in healthcare management. You should also be able to analyze and solve problems related to healthcare management using your knowledge and skills. In terms of competency level, the AHIP AHM-520 Exam is considered to be at an intermediate level. It requires a good understanding of healthcare management concepts and their applications, but it does not require advanced knowledge or skills. Overall, to pass the AHIP AHM-520 Exam, you need to have a solid foundation in healthcare management and be able to apply your knowledge and skills to solve problems and make informed decisions.
Questions Format The AHIP AHM-520 exam consists of multiple-choice questions.
Delivery of Exam Based on my research, the AHIP AHM-520 exam is typically delivered online and consists of multiple-choice questions. It may also include case studies and scenarios to test the candidate's knowledge and skills in healthcare management. The exam may be proctored or unproctored, depending on the testing center's policies.
Language offered Based on my research, the AHIP AHM-520 exam is designed to test the knowledge and skills of healthcare professionals in the areas of healthcare management, policy, and finance. Therefore, it is likely that the exam includes questions related to healthcare terminology, industry-specific jargon, and technical language related to healthcare management and finance.
Cost of exam You can visit the official website of AHIP or contact their customer support to get the latest pricing information.
Target Audience Based on my research, the target audience for AHIP AHM-520 course may include healthcare professionals, insurance agents, healthcare administrators, and individuals interested in healthcare management and policy. The course may be suitable for those who want to gain knowledge and skills in healthcare laws, regulations, and compliance.
Average Salary in Market The average salary for a healthcare insurance professional with AHIP AHM-520 certification is around $70,000 per year. However, the salary may vary depending on the job role, location, and years of experience.
Testing Provider You can visit the AHIP website to register for the exam and find authorized testing centers.
Recommended Experience The AHIP AHM-520 exam is designed for professionals who work in the healthcare industry and have experience in healthcare management, healthcare operations, and healthcare finance. The recommended experience for this exam includes: 1. At least two years of experience in healthcare management or healthcare operations. 2. Knowledge of healthcare finance, including budgeting, financial analysis, and revenue cycle management. 3. Familiarity with healthcare regulations and compliance, including HIPAA, HITECH, and the Affordable Care Act. 4. Understanding of healthcare quality improvement initiatives, such as Six Sigma and Lean. 5. Knowledge of healthcare information technology, including electronic health records (EHRs) and health information exchange (HIE). 6. Familiarity with healthcare data analytics and reporting. 7. Understanding of healthcare marketing and communication strategies. 8. Knowledge of healthcare ethics and professionalism. Overall, the AHIP AHM-520 exam is designed for professionals who have a broad understanding of healthcare management and operations, as well as the ability to apply this knowledge to real-world situations.
Prerequisite The prerequisite for the AHIP AHM-520 exam is to have a basic understanding of healthcare management and the healthcare industry. It is recommended that candidates have at least two years of experience in healthcare management or a related field. Additionally, candidates should have a good understanding of healthcare laws and regulations, healthcare finance, healthcare quality improvement, and healthcare information technology. It is also recommended that candidates have completed the AHIP AHM-250 course or have equivalent knowledge and experience.
Retirement (If Applicable) it is recommended to check the official website of AHIP or contact their customer support for the most up-to-date information regarding the retirement date of the exam.
Certification Track (RoadMap): The AHIP AHM-520 exam is a certification exam offered by the America's Health Insurance Plans (AHIP) organization. It is designed to test the knowledge and skills of professionals working in the health insurance industry, specifically in the areas of healthcare management and policy. The certification track or roadmap for the AHIP AHM-520 exam typically involves the following steps: 1. Determine eligibility: To be eligible for the AHIP AHM-520 exam, candidates must meet certain requirements, such as having a certain level of education or work experience in the healthcare industry. 2. Study and prepare: Candidates must study and prepare for the exam by reviewing the exam content outline, studying relevant materials, and taking practice exams. 3. Register for the exam: Candidates must register for the AHIP AHM-520 exam through the AHIP website. 4. Take the exam: The AHIP AHM-520 exam is typically administered online and consists of multiple-choice questions. 5. Receive certification: Candidates who pass the AHIP AHM-520 exam receive a certification from AHIP, which demonstrates their knowledge and expertise in healthcare management and policy. Overall, the AHIP AHM-520 certification track or roadmap is designed to help healthcare professionals advance their careers and demonstrate their expertise in the health insurance industry.
Official Information https://www.ahip.org/course/health-plan-finance-and-risk-management-ahm-520/
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AHIP AHM-520 Exam Topics :

Section Weight Objectives
Objective 1:  
  • Analyze the role of strategic financial planning in setting a health insurance provider’s future direction
Objective 2:  
  • Gain an understanding of risk, decisions regarding risk assumption, and how health insurance providers control risk
Objective 3:  
  • Compare the difference between stop-loss insurance and stop-loss reinsurance from the perspective of health insurance providers
Objective 4:  
  • Learn about the financial risks for health insurance provider organizations that provide health care services to Medicare and/or Medicaid populations compared to risks within the commercial population
Objective 5:  
  • Distinguish between fully funded and self-funded plans and the increasing role of self-funding in the marketplace
Objective 6:  
  • Discover how to identify claim related components of health insurance providers’ financial statements
Objective 7:  
  • Recognize different reserving methodologies used by health insurance providers