AHIP AHM-530 Valid Dump : Network Management

AHM-530 real exams

Exam Code: AHM-530

Exam Name: Network Management

Updated: Nov 14, 2024

Q & A: 202 Questions and Answers

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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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AHIP AHM-530 Exam Syllabus Topics:

TopicDetails
Topic 1
  • Explore how health insurance providers ensure their provider networks remain adequate to meet member needs
  • Understand how network strategies improve access, quality, and cost-effectiveness
Topic 2
  • Gain a detailed understanding of the scope and organization of the network management function within health insurance provider organizations
Topic 3
  • Identify the primary responsibilities and obligations of health insurance providers and health care providers under a provider contract
Topic 4
  • Master the essential elements of a contractual relationship between health insurance providers and health care providers
Topic 5
  • Recognize special requirements that affect network management for Medicare, Medicaid, and workers’ compensation networks

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

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