AHIP AHM-510 valid dump torrent : Governance and Regulation

  • Exam Code: AHM-510
  • Exam Name: Governance and Regulation
  • Updated: Sep 01, 2026
  • Q&As: 76 Questions and Answers

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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

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  • By passing the AHM-510 exam will give candidates a sense of personal accomplishment and the respect of colleagues in their organization and throughout the industry.
  • Candidates can get knowledge and skills that help them to succeed in the rapidly changing and evolving healthcare industry.
  • Candidates can learn unique complexities associated with health plans and being the update in knowledge with the latest trends, developments, and practices.
  • By passing, AHM-510 exam candidate can add a new dimension to his career experience and distinguish himself as a person who is knowledgeable about the environment, products, operations, and issues of the health insurance plan industry.
  • By passing in Governance and Regulation AHM-510 Exam, Candidates can be participating in a new and exciting course. Candidate's participation will signify their commitment to professionalism.

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

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AHIP AHM-510 Exam Syllabus Topics:

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

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