AHIP AHM-510 Q&A - in .pdf

  • AHM-510 pdf
  • Exam Code: AHM-510
  • Exam Name: Governance and Regulation
  • Updated: Aug 27, 2026
  • Q & A: 76 Questions and Answers
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  • Exam Code: AHM-510
  • Exam Name: Governance and Regulation
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  • Updated: Aug 27, 2026
  • Q & A: 76 Questions and Answers
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AHIP AHM-510 Q&A - Testing Engine

  • AHM-510 Testing Engine
  • Exam Code: AHM-510
  • Exam Name: Governance and Regulation
  • Updated: Aug 27, 2026
  • Q & A: 76 Questions and Answers
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Certification Path

The Governance and Regulation AHM-510 Exam certification path includes only one AHM-510 certification exam.

Reference: https://www.ahip.org/course/governance-and-regulation-ahm-510/

Who should take the AHM-510 exam
  • Financial executives working with clients looking to maximize their health dollars
  • 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
  • candidate who possesses the professional experience in AHIP Governance is eligible for this exam
  • Teachers at the school level who teach health care administration
  • Case administrators and medical directors who inquire a broader administrative background
  • Agents and brokers who expert in life and health insurance
  • Medical management employees working in hospitals, health systems, and, health insurance plans
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AHM-510 Exam Reference

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AHIP AHM-510 Exam Syllabus Topics:
SectionObjectives
Topic 1: Compliance and Legal Requirements- Legal and ethical obligations
  • 1. Ethical standards in insurance operations
    • 2. Consumer protection requirements
      - Compliance programs
      • 1. Internal compliance monitoring
        • 2. Fraud, waste, and abuse prevention
          Topic 2: Regulatory Environment in Health Insurance- Federal regulation
          • 1. ERISA regulations
            • 2. HIPAA privacy and security rules
              • 3. Affordable Care Act (ACA) requirements
                - State regulation
                • 1. State benefit mandates
                  • 2. State insurance commissioners and oversight
                    Topic 3: Health Insurance Governance Framework- Roles and responsibilities of governing bodies
                    • 1. Board oversight and fiduciary duties
                      • 2. Executive management accountability
                        - Corporate governance structures
                        • 1. Risk management governance
                          • 2. Organizational governance models
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