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AHIP AHM-510 : Governance and Regulation

AHM-510

Exam Code: AHM-510

Exam Name: Governance and Regulation

Updated: Aug 18, 2026

Q & A: 76 Questions and Answers

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About AHIP AHM-510 Exam

Certification Path

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

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How much AHM-510 Exam Cost

The price of the AHM-510 exam is 220 USD for AHIP members and 280 USD for non-members.

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

AHIP AHM-510 Exam Syllabus Topics:

SectionObjectives
Legal Issues in Health Care Management- Privacy and compliance
  • 1. HIPAA privacy requirements
    • 2. Security and confidentiality of health information
      • 3. Fraud, waste, and abuse prevention
        - Health care law and regulation
        • 1. Contract law
          • 2. ERISA-related legal issues
            • 3. Antitrust considerations
              • 4. Liability and negligence
                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
                      Government Programs and Public Policy- Medicaid
                      • 1. Program administration
                        • 2. Managed Medicaid models
                          - Public policy and regulation
                          • 1. Health care reform and regulatory trends
                            • 2. Government as a purchaser of health care
                              • 3. Federal and state regulatory requirements
                                - Medicare
                                • 1. Program structure and benefits
                                  • 2. Role of managed care organizations
                                    Governance and Organizational Control- Organizational management
                                    • 1. Reorganization and reengineering
                                      • 2. Organizational control systems
                                        • 3. Strategic planning
                                          - 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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