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Reference: https://www.ahip.org/courses/network-management-ahm530
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How to book the AHM-530 Exam
These are following steps for registering the AHM-530 exam. Step 1: Visit to AHIP Exam Registration Step 2: Signup/Login to AHIP INSURANCE EDUCATION account Step 3: Search for AHM-530 Exam Certifications Exam Step 4: Select Date, time and confirm with payment method
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AHM-530 Exam topics
Candidates must know the exam topics before they start of preparation. Because it will really help them in hitting the core. Our AHM-530 exam dumps will include the following topics:
- How health plans select, contract with, and compensate specialists and healthcare facilities
- Scope and organization of the network management function in health plans
- Network strategies for access, quality, and cost-effectiveness
- The process for network provider selection
- Special requirements that affect network management for Medicare, Medicaid, and workers' compensation networks
- How health plans ensure their provider networks remain adequate to meet member needs
- Essential elements of a contractual relationship between health plans and providers
- The primary responsibilities and obligations of health plans and providers under a provider contract
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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 | Weight | Objectives |
|---|---|---|
| Network Adequacy and Performance Monitoring | 8% | - Ongoing network evaluation and maintenance - Access, quality, and capacity metrics |
| Provider Contracts and Compensation | 25% | - Contract terms, obligations, and legal requirements - Reimbursement models: FFS, capitation, bundled payments |
| Provider Selection and Credentialing | 20% | - Selection criteria and processes - Credentialing and recredentialing standards |
| Government Program Network Requirements | 12% | - Medicaid and workers’ compensation network standards - Medicare network adequacy rules |
| Specialist and Facility Network Management | 15% | - Hospital, ancillary, and facility network management - Specialist network design and contracting |
| Scope and Organization of Network Management | 20% | - Network strategy alignment with organizational goals - Role and function within health plans |







