- Exam Code: AHM-540
- Exam Name: Medical Management
- Certification Provider: AHIP
- Corresponding Certification:AHIP Certification
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Who should take the AHM-540 exam
- Case administrators and medical directors who inquire a broader administrative background
- Agents and brokers who expert in life and health insurance
- 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
- Financial executives working with clients looking to maximize their health dollars
- Medical management employees working in hospitals, health systems, and, health insurance plans
AHM-540 Exam topics
Candidates must know the exam topics before they start of preparation. Because it will really help them in hitting the core. Our AHM-540 exam dumps will include the following topics:
- The role of medical management in providing pharmacy services
- The role of medical management in a health plan
- Quality management methods-measurement and improvement
- Disease management-its purpose, processes, and programs
- Strategies for managing complex individual cases
- How medical management is used in different types of care
- The importance of preventive care and self-care programs
- How and why a delegation is used in medical management
- How medical management is used to deliver Medicare and Medicaid services
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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.
Reference: https://www.ahip.org/courses/medical-management-ahm540
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AHIP AHM-540 Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Utilization & Quality Management | 25% | - Accreditation standards (NCQA, CMS) - Quality measurement and improvement - Utilization review processes |
| Government Programs | 15% | - Compliance with federal regulations - Medical management for Medicaid - Medical management for Medicare |
| Role of Medical Management | 20% | - Delegation and accountability - Regulatory and legal framework - Overview in health insurance organizations |
| Care Management Programs | 25% | - Preventive and self-care programs - Disease management principles - Case management for complex patients |
| Specialized Services | 15% | - Behavioral health integration - Telemedicine and virtual care - Pharmacy benefit management |
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