AHIP Governance and Regulation : AHM-510

  • Exam Code: AHM-510
  • Exam Name: Governance and Regulation
  • Updated: May 27, 2026
  • Q & A: 76 Questions and Answers

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Who should take the AHM-510 exam
  • candidate who possesses the professional experience in AHIP Governance is eligible for this exam
  • 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
  • Teachers at the school level who teach health care administration
  • Case administrators and medical directors who inquire a broader administrative background
  • Financial executives working with clients looking to maximize their health dollars
  • Agents and brokers who expert in life and health insurance
  • Medical management employees working in hospitals, health systems, and, health insurance plans
AHIP AHM-510 Exam Syllabus Topics:
TopicDetails
Topic 1
  • Review relevant terms, industry issues, case scenarios and concepts
  • Understand the legal issues surrounding ERISA, pharmacy benefits, and wellness
Topic 2
  • Dig deep into the role of health insurance providers in providing services to both Medicare and Medicaid enrollees
  • Examine legal issues faced by health insurance providers in a post-reform environment
Topic 3
  • Understand how health insurance providers use reorganization, reengineering, and strategic planning to improve performance
Topic 4
  • Delve into federal and state regulatory requirements that affect health insurance providers
  • Analyze how fraud and abuse affect health care’s cost and quality

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

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