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Who should take the AHM-520 exam
- Agents and brokers who expert in life and health insurance
- 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
- Financial executives working with clients looking to maximize their health dollars
- Medical management employees working in hospitals, health systems, and, health insurance plans
- Teachers at the school level who teach health care administration
- Case administrators and medical directors who inquire a broader administrative background
Reference: https://www.ahip.org/courses/health-plan-finance-and-risk-management-ahm520
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What is the duration of the AHM-520 Exam
- Format: Multiple choices, multiple answers
- Number of Questions: 215
- Length of Examination: 90 minutes
AHIP AHM-520 Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Regulatory and Compliance Framework | - Governance and reporting
|
| Topic 2: Actuarial Principles and Forecasting | - Actuarial concepts
|
| Topic 3: Claims Analysis and Utilization Management | - Claims data analysis
|
| Topic 4: Provider Payment Models | - Traditional and alternative reimbursement
|
| Topic 5: Risk Assessment and Risk Management | - Risk mitigation strategies
|
| Topic 6: Medical Loss Ratio and Compliance | - Compliance requirements
|
| Topic 7: Health Plan Financial Structures | - Revenue sources and premium development
|
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