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AHM-530 Exam topics

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• Network strategies for access, quality, and cost-effectiveness
• How health plans select, contract with, and compensate specialists and healthcare facilities
• The process for network provider selection
• Essential elements of a contractual relationship between health plans and providers
• How health plans ensure their provider networks remain adequate to meet member needs
• Special requirements that affect network management for Medicare, Medicaid, and workers' compensation networks
• Scope and organization of the network management function in health plans
• The primary responsibilities and obligations of health plans and providers under a provider contract

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

Who should take the AHM-530 exam

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

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Certification Path

The Network Management AHM-530 Exam certification path includes only one AHM-530 certification exam.

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