AHIP AHM-530 - Network Management
- Exam Code: AHM-530
- Exam Name: Network Management
- Updated: Jul 29, 2026
- Q & A: 202 Questions and Answers
The Network Management AHM-530 Exam certification path includes only one AHM-530 certification exam.
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Reference: https://www.ahip.org/courses/network-management-ahm530
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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Specialist and Facility Network Management | 15% | - Hospital, ancillary, and facility network management - Specialist network design and contracting |
| Topic 2: Provider Selection and Credentialing | 20% | - Selection criteria and processes - Credentialing and recredentialing standards |
| Topic 3: Network Adequacy and Performance Monitoring | 8% | - Access, quality, and capacity metrics - Ongoing network evaluation and maintenance |
| Topic 4: Provider Contracts and Compensation | 25% | - Contract terms, obligations, and legal requirements - Reimbursement models: FFS, capitation, bundled payments |
| Topic 5: Government Program Network Requirements | 12% | - Medicare network adequacy rules - Medicaid and workers’ compensation network standards |
| Topic 6: Scope and Organization of Network Management | 20% | - Role and function within health plans - Network strategy alignment with organizational goals |
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