AHIP AHM-530 - Network Management

AHIP AHM-530 Actual PDF
  • Exam Code: AHM-530
  • Exam Name: Network Management
  • Updated: Jul 29, 2026
  • Q & A: 202 Questions and Answers
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About AHIP AHM-530 Exam

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Who should take the AHM-530 exam

  • Employees who work for health care providers or health insurance plans and want to get the educational background to proceed with a management position in the industry
  • Case administrators and medical directors who inquire a broader administrative background
  • Medical management employees working in hospitals, health systems, and, health insurance plans
  • Financial executives working with clients looking to maximize their health dollars
  • Agents and brokers who expert in life and health insurance
  • Teachers at the school level who teach health care administration

Reference: https://www.ahip.org/courses/network-management-ahm530

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AHIP AHM-530 Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Specialist and Facility Network Management15%- Hospital, ancillary, and facility network management
- Specialist network design and contracting
Topic 2: Provider Selection and Credentialing20%- Selection criteria and processes
- Credentialing and recredentialing standards
Topic 3: Network Adequacy and Performance Monitoring8%- Access, quality, and capacity metrics
- Ongoing network evaluation and maintenance
Topic 4: Provider Contracts and Compensation25%- Contract terms, obligations, and legal requirements
- Reimbursement models: FFS, capitation, bundled payments
Topic 5: Government Program Network Requirements12%- Medicare network adequacy rules
- Medicaid and workers’ compensation network standards
Topic 6: Scope and Organization of Network Management20%- Role and function within health plans
- Network strategy alignment with organizational goals

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