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What is the duration of the AHM-530 Exam

  • Length of Examination: 120 minutes
  • Number of Questions: 202
  • Format: Multiple choices, multiple answers

Network Management AHM-530 Exam

Network Management AHM-530 Exam is designed by the Academy of Health Care Administration (AHM) and sponsored by the US Health Insurance Plans and the Blue Cross Blue Shield Association. AHM is a self-study examination based program. AHM-530 Exam validates candidate has knowledge about the network management function in health insurance plans. This exam also verifies the candidate has a strong understanding of network development strategies such as risk management, recruiting, selection and contracting and network maintenance strategies such as managing provider performance and feedback.

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Certification Path

The Network Management AHM-530 Exam certification path includes only one AHM-530 certification exam.

Reference: https://www.ahip.org/courses/network-management-ahm530

The benefit in Obtaining the AHM-530 Exam Certification

  • By passing, AHM-530 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.
  • 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 the AHM-530 exam will give candidates a sense of personal accomplishment and the respect of colleagues in their organization and throughout the industry.
  • By passing in Network Management AHM-530 Exam, Candidates can be participating in a new and exciting course. Candidate's participation will signify their commitment to professionalism.

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AHIP AHM-530 Exam Syllabus Topics:

SectionObjectives
Network Structure and Design- Network adequacy and geographic coverage requirements
- Types of provider networks (HMO, PPO, POS)
- Network configuration strategies
Provider Contracting and Reimbursement- Value-based reimbursement models
- Contract negotiation and terms
- Fee-for-service, capitation, and bundled payments
Network Performance and Compliance- Regulatory and accreditation requirements
- Network performance metrics
Utilization and Care Management- Referral and authorization systems
- Utilization management tools and techniques
Provider Credentialing and Oversight- Credentialing and re-credentialing processes
- Quality monitoring and performance evaluation

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