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Updated: Sep 02, 2026

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AHIP AHM-510 Exam Overview:

Certification Vendor:AHIP (America's Health Insurance Plans)
Exam Name:Governance and Regulation
Exam Number:AHM-510
Related Certifications:AHIP Healthcare Management Designation Programs
Real Exam Qty:Not officially published
Available Languages:English
Certificate Validity Period:Not officially published
Exam Price:Not officially published (course/exam pricing varies by AHIP membership status)
Exam Format:Online assessment, Objective questions
Passing Score:Not officially published
Exam Duration:Not officially published
Sample Questions:AHIP AHM-510 Sample Questions
Exam Way:Online through AHIP's learning platform as part of the course and assessment program.
Pre Condition:No universal prerequisite officially published; typically intended for professionals pursuing AHIP healthcare management education programs.
Official Syllabus URL:https://www.ahip.org/courses/courses-governance-and-regulation-ahm-510

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

How to book the AHM-510 Exam

These are following steps for registering the AHM-510 exam. Step 1: Visit to AHIP Exam Registration Step 2: Signup/Login to AHIP INSURANCE EDUCATION account Step 3: Search for AHM-510 Exam Certifications Exam Step 4: Select Date, time and confirm with payment method

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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. Factors shaping the health insurance industry
      • 3. History and development of managed care
        Government Programs and Public Policy- Public policy and regulation
        • 1. Federal and state regulatory requirements
          • 2. Government as a purchaser of health care
            • 3. Health care reform and regulatory trends
              - Medicaid
              • 1. Managed Medicaid models
                • 2. Program administration
                  - Medicare
                  • 1. Role of managed care organizations
                    • 2. Program structure and benefits
                      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. Antitrust considerations
                              • 2. ERISA-related legal issues
                                • 3. Liability and negligence
                                  • 4. Contract law
                                    Governance and Organizational Control- Corporate governance
                                    • 1. Executive leadership and accountability
                                      • 2. Corporate ethics and compliance culture
                                        • 3. Board of directors roles and fiduciary responsibilities
                                          - Organizational management
                                          • 1. Reorganization and reengineering
                                            • 2. Organizational control systems
                                              • 3. Strategic planning

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