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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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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 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.
- 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.
Reference: https://www.ahip.org/courses/network-management-ahm530
How much AHM-530 Exam Cost
The price of the AHM-530 exam is 220 USD for AHIP members and 280 USD for non-members.
AHIP AHM-530 Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Provider Credentialing and Oversight | - Quality monitoring and performance evaluation - Credentialing and re-credentialing processes |
| Network Performance and Compliance | - Network performance metrics - Regulatory and accreditation requirements |
| Network Structure and Design | - Network adequacy and geographic coverage requirements - Network configuration strategies - Types of provider networks (HMO, PPO, POS) |
| Provider Contracting and Reimbursement | - Value-based reimbursement models - Contract negotiation and terms - Fee-for-service, capitation, and bundled payments |
| Utilization and Care Management | - Utilization management tools and techniques - Referral and authorization systems |
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