AHIP AHM-510 exam dumps : Governance and Regulation

  • Exam Code: AHM-510
  • Exam Name: Governance and Regulation
  • Updated: Aug 12, 2026     Q & A: 76 Questions and Answers

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

Governance and Regulation AHM-510 Exam

Governance and Regulation AHM-510 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-510 Exam validates candidate has the knowledge of types, and structure of health management organizations. This exam also verifies the candidate has a strong understanding of the role of healthcare administration in government-sponsored programs, such as Medicare and Medicaid. Candidates also know about the overall purpose and direction of healthcare management, the impact of fraud and abuse, and the role of public policy. In addition, the Candidate must have the ability to handle legal issues related to ERISA, pharmacy benefits, and wellness programs.

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AHIP AHM-510 Exam Syllabus Topics:

SectionObjectives
Health Care Management Organizations and Industry Structure- Formation and evolution of health care management organizations
  • 1. Types of health plans and organizational structures
    • 2. History and development of managed care
      • 3. Factors shaping the health insurance industry
        Legal Issues in Health Care Management- Privacy and compliance
        • 1. Fraud, waste, and abuse prevention
          • 2. HIPAA privacy requirements
            • 3. Security and confidentiality of health information
              - Health care law and regulation
              • 1. Contract law
                • 2. Liability and negligence
                  • 3. ERISA-related legal issues
                    • 4. Antitrust considerations
                      Government Programs and Public Policy- Medicaid
                      • 1. Managed Medicaid models
                        • 2. Program administration
                          - Public policy and regulation
                          • 1. Government as a purchaser of health care
                            • 2. Federal and state regulatory requirements
                              • 3. Health care reform and regulatory trends
                                - Medicare
                                • 1. Role of managed care organizations
                                  • 2. Program structure and benefits
                                    Governance and Organizational Control- Organizational management
                                    • 1. Strategic planning
                                      • 2. Reorganization and reengineering
                                        • 3. Organizational control systems
                                          - Corporate governance
                                          • 1. Corporate ethics and compliance culture
                                            • 2. Executive leadership and accountability
                                              • 3. Board of directors roles and fiduciary responsibilities

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