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AHIP Updated AHM-510 Exam Blueprint, Syllabus and Topics

Governance and Regulation

Last Update Oct 15, 2025
Total Questions : 76

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AHIP AHM-510 Exam Overview :

Exam Name Governance and Regulation
Exam Code AHM-510
Actual Exam Duration 90 minutes
Expected no. of Questions in Actual Exam 60
Official Information https://www.ahip.org/course/governance-and-regulation-ahm-510/
See Expected Questions AHIP AHM-510 Expected Questions in Actual Exam
Take Self-Assessment Use AHIP AHM-510 Practice Test to Assess your preparation - Save Time and Reduce Chances of Failure

AHIP AHM-510 Exam Topics :

Section Weight Objectives
Objective 1:  
  • Explore factors shaping the health insurance industry, its formation, types of insurance, and structure
Objective 2:  
  • Understand how health insurance providers use reorganization, reengineering, and strategic planning to improve performance
Objective 3:  
  • Examine legal issues faced by health insurance providers in a post-reform environment
Objective 4:  
  • Understand the legal issues surrounding ERISA, pharmacy benefits, and wellness
Objective 5:  
  • Delve into federal and state regulatory requirements that affect health insurance providers
Objective 6:  
  • Learn the role of the federal government as a purchaser of health care benefits
Objective 7:  
  • Dig deep into the role of health insurance providers in providing services to both Medicare and Medicaid enrollees
Objective 8:  
  • Analyze how fraud and abuse affect health care’s cost and quality
Objective 9  
  • Explore how health insurance providers use organizational control systems to build internal structures that meet external demands for accountability
Objective 10:  
  • Review relevant terms, industry issues, case scenarios and concepts

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