AHIP Certification Dumps & Practice Exams – Pass with Ease

AHIP AHM-540 Exam Dumps

admin_arslan — Sun, 29 Sep 2024 09:27:55 +0000

Exam Name: AHM Medical Management

Exam Code: AHM-540

Related Certification(s): AHIP Network Management Certification

Certification Provider: AHIP

Actual Exam Duration: 120 Minutes

Number of AHM-540 practice questions in our database:

Expected AHM-540 Exam Topics, as suggested by AHIP :

Module 1: Identify how and why a delegation is used in medical management/ Quality management methods—measurement and improvements
Module 2: Recognize how medical management is used to deliver Medicare and Medicaid services/ Explore strategies for managing complex individual cases
Module 3: Understand role of medical management in health insurance provider organizations/ Recognize the importance of preventive care and self-care programs
Module 4: Examine the role of medical management in providing pharmacy services/ Learn how medical management is used in different types of care
Module 5: Understand disease management—its purpose, processes, and programs

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AHIP AHM-530 Exam Dumps

admin_arslan — Sun, 29 Sep 2024 09:27:12 +0000

Exam Name: Network Management

Exam Code: AHM-530

Related Certification(s): AHIP Network Management Certification

Certification Provider: AHIP

Actual Exam Duration: 120 Minutes

Number of AHM-530 practice questions in our database:

Expected AHM-530 Exam Topics, as suggested by AHIP :

Module 1: Map out how health insurance providers select, contract with, and compensate specialists and health care facilities/ Learn the process for network provider selection
Module 2: Recognize special requirements that affect network management for Medicare, Medicaid, and workers’ compensation networks
Module 3: Gain a detailed understanding of the scope and organization of the network management function within health insurance provider organizations
Module 4: Explore how health insurance providers ensure their provider networks remain adequate to meet member needs/ Understand how network strategies improve access, quality, and cost-effectiveness
Module 5: Identify the primary responsibilities and obligations of health insurance providers and health care providers under a provider contract
Module 6: Master the essential elements of a contractual relationship between health insurance providers and health care providers

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AHIP AHM-520 Exam Dumps

admin_arslan — Sun, 29 Sep 2024 09:26:22 +0000

Exam Name: Health Plan Finance and Risk Management

Exam Code: AHM-520 FAHM

Related Certification(s): AHIP Managed Healthcare Professional Certification

Certification Provider: AHIP

Actual Exam Duration: 90 Minutes

Number of AHM-520 practice questions in our database:

Expected AHM-520 Exam Topics, as suggested by AHIP :

Module 1: Recognize different reserving methodologies used by health insurance providers/ Analyze the role of strategic financial planning in setting a health insurance provider’s future direction
Module 2: 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
Module 3: Discover how to identify claim related components of health insurance providers’ financial statements
Module 4: Gain an understanding of risk, decisions regarding risk assumption, and how health insurance providers control risk
Module 5: Distinguish between fully funded and self-funded plans and the increasing role of self-funding in the marketplace
Module 6: Compare the difference between stop-loss insurance and stop-loss reinsurance from the perspective of health insurance providers

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AHIP AHM-510 Exam Dumps

admin_arslan — Sun, 29 Sep 2024 09:25:40 +0000

Exam Name: Governance, Legal Issues, Medicare and Medicaid

Exam Code: AHM-510 FAHM

Related Certification(s): AHIP Managed Healthcare Professional Certification

Certification Provider: AHIP

Actual Exam Duration: 90 Minutes

Number of AHM-510 practice questions in our database:

Expected AHM-510 Exam Topics, as suggested by AHIP :

Module 1: Review relevant terms, industry issues, case scenarios and concepts/ Understand the legal issues surrounding ERISA, pharmacy benefits, and wellness
Module 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
Module 3: Learn the role of the federal government as a purchaser of health care benefits/ Explore factors shaping the health insurance industry, its formation, types of insurance, and structure
Module 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
Module 5: Explore how health insurance providers use organizational control systems to build internal structures that meet external demands for accountability
Module 6: Understand how health insurance providers use reorganization, reengineering, and strategic planning to improve performance

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AHIP AHM-250 Exam Dumps

admin_arslan — Sun, 29 Sep 2024 09:24:32 +0000

Exam Name: Healthcare Management: An Introduction

Exam Code: AHM-250 PAHM

Related Certification(s):

AHIP Healthcare Management: An Introduction Certifications
AHIP Managed Healthcare Professional Certifications

Certification Provider: AHIP

Actual Exam Duration: 90 Minutes

Number of AHM-250 practice questions in our database:

Expected AHM-250 Exam Topics, as suggested by AHIP :

Module 1: Review relevant terms, industry issues, care scenarios, and concepts/ Understand the basic concepts of health insurance provider organizations
Module 2: Delve into legislative and regulatory issues affecting the health insurance industry, including the Affordable Care Act (ACA) and the 21st Century Cures Act
Module 3: Understand role of government-sponsored programs, including Medicare and Medicaid, in providing coverage to large segments of the population
Module 4: Explore the concepts of rating, underwriting, and claims administration in health insurance provider environments/ Recognize HSAs’ and HRAs’ roles in today’s consumer-centric environment
Module 5: Examine the interplay of information technology with essential functions of health insurance provider operations/ Distinguish among HMOs, PPOs, POSs, and managed indemnity
Module 6: Gain a practical understanding of the evolution of health care delivery and financing in the United States, from pre-paid plans to ACOs
Module 7: Learn the importance of network structure and management in delivering quality healthcare/ Identify different types of health insurance provider organizations

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