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Instant Download AHIP : AHM-510 Questions & Answers as PDF & Test Engine

AHM-510
  • Exam Code: AHM-510
  • Exam Name: Governance and Regulation
  • Updated: Sep 13, 2026
  • No. of Questions: 76 Questions and Answers
  • Download Limit: Unlimited
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Certification Path

The Governance and Regulation AHM-510 Exam certification path includes only one AHM-510 certification exam.

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What is the duration of the AHM-510 Exam

  • Length of Examination: 90 minutes
  • Number of Questions: 76
  • Format: Multiple choices, multiple answers

How to study the AHM-510 Exam

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

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AHM-510 Exam topics

Candidates must know the exam topics before they start of preparation. Because it will really help them in hitting the core. Our AHM-510 exam dumps will include the following topics:

  • Important factors shaping the environment of the health plan industry
  • Federal and state regulatory requirements that effect health plans
  • Key legal issues in health plans

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AHIP AHM-510 Exam Syllabus Topics:

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

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