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Health Plan Finance and Risk Management AHM-520 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-520 Exam validates candidate has the ability to get a comprehensive look at the Health Insurance Plan Fund. This exam also verifies the candidate has a strong understanding of financial management techniques, funds, risk management, provider payment, project risk, pricing, care, and rating methods.
Reference: https://www.ahip.org/courses/health-plan-finance-and-risk-management-ahm520
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These are following steps for registering the AHM-520 exam. Step 1: Visit to AHIP Exam Registration Step 2: Signup/Login to AHIP INSURANCE EDUCATION account Step 3: Search for AHM-520 Exam Certifications Exam Step 4: Select Date, time and confirm with payment method
| Section | Objectives |
|---|---|
| Topic 1: Actuarial Principles and Forecasting | - Actuarial concepts
|
| Topic 2: Regulatory and Compliance Framework | - Healthcare regulations
|
| Topic 3: Provider Payment Models | - Traditional and alternative reimbursement
|
| Topic 4: Health Plan Financial Structures | - Revenue sources and premium development
|
| Topic 5: Risk Assessment and Risk Management | - Risk mitigation strategies
|
| Topic 6: Medical Loss Ratio and Compliance | - Compliance requirements
|
| Topic 7: Claims Analysis and Utilization Management | - Claims data analysis
|
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