Who should take the AHM-540 exam
- Case administrators and medical directors who inquire a broader administrative background
- Financial executives working with clients looking to maximize their health dollars
- Teachers at the school level who teach health care administration
- 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
- Medical management employees working in hospitals, health systems, and, health insurance plans
- Agents and brokers who expert in life and health insurance
How much AHM-540 Exam Cost
The price of the AHM-540 exam is 220 USD for AHIP members and 280 USD for non-members.
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Reference: https://www.ahip.org/courses/medical-management-ahm540
AHIP AHM-540 Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Specialized Services | 15% | - Telemedicine and virtual care - Pharmacy benefit management - Behavioral health integration |
| Care Management Programs | 25% | - Disease management principles - Preventive and self-care programs - Case management for complex patients |
| Utilization & Quality Management | 25% | - Utilization review processes - Quality measurement and improvement - Accreditation standards (NCQA, CMS) |
| Government Programs | 15% | - Medical management for Medicare - Compliance with federal regulations - Medical management for Medicaid |
| Role of Medical Management | 20% | - Overview in health insurance organizations - Delegation and accountability - Regulatory and legal framework |


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