Exam Name: Governance and Regulation
Certification Provider: AHIP
Corresponding Certification: AHIP Certification
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Instant Download AHIP : AHM-510
Check Updated on: Sep 13, 2026
No. of Questions: 76 Questions & Answers with Exam Engine
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- Total Questions: 76
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AHM-510 Exam topics
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- Key legal issues in health plans
- Important factors shaping the environment of the health plan industry
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What is the duration of the AHM-510 Exam
- Number of Questions: 76
- Length of Examination: 90 minutes
- Format: Multiple choices, multiple answers
Reference: https://www.ahip.org/course/governance-and-regulation-ahm-510/
AHIP AHM-510 Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Legal and Regulatory Framework | - ERISA, pharmacy benefits, and wellness program regulations - Federal and state regulatory compliance requirements - Key legal issues in post-healthcare reform environment |
| Governance, Compliance, and Integrity | - Fraud, waste, and abuse prevention and detection - Accountability and regulatory reporting standards - 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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