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How to book the AHM-540 Exam
These are following steps for registering the AHM-540 exam. Step 1: Visit to AHIP Exam Registration Step 2: Signup/Login to AHIP INSURANCE EDUCATION account Step 3: Search for AHM-540 Exam Certifications Exam Step 4: Select Date, time and confirm with payment method
Reference: https://www.ahip.org/courses/medical-management-ahm540
AHIP AHM-540 Exam Overview:
| Certification Vendor: | AHIP (Academy for Healthcare Management) |
|---|---|
| Exam Name: | Medical Management |
| Exam Number: | AHM-540 |
| Exam Duration: | 120 minutes |
| Passing Score: | 70% |
| Certificate Validity Period: | 3 years |
| Real Exam Qty: | 90 |
| Related Certifications: | AHM-510 AHM-550 AHM-250 AHM-530 AHM-520 |
| Available Languages: | English |
| Exam Price: | $220 (AHIP Members), $280 (Non-Members) |
| Exam Format: | Online proctored / Open-book, Multiple-choice questions |
| Recommended Training: | Official AHM-540 Online Course |
| Exam Registration: | AHIP Official Enrollment |
| Sample Questions: | AHIP AHM-540 Sample Questions |
| Exam Way: | Online, self-paced, open-book format; 180 days access period from enrollment |
| Pre Condition: | No mandatory prerequisites; recommended for healthcare plan staff, case managers, and medical directors |
| Official Syllabus URL: | https://stg.ahip.org/courses/medical-management-ahm540 |
AHM Medical Management AHM-540 Exam
AHM Medical Management AHM-540 Exam is designed by the Academy of Health Care Administration (AHM) and sponsored by the US Health Insurance Plans and the Blue Cross Blue Shield Association. AHM is a self-study examination based program. AHM-540 Exam validates candidate has knowledge about the medical policy and technology evaluation, appropriateness of care issues, authorization systems, and clinical practice guidelines. This exam also verifies the candidate has the ability to discover focused strategies for utilization management, such as clinical paths and disease management. This exam also evaluates the candidate proficiency in accreditation, quality improvement, benchmarking, performance measurement, and legal aspects of QM, as well as QM strategies for different clinical settings.
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AHIP AHM-540 Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Role of Medical Management | 20% | - Delegation and accountability - Regulatory and legal framework - Overview in health insurance organizations |
| Government Programs | 15% | - Compliance with federal regulations - Medical management for Medicaid - Medical management for Medicare |
| Utilization & Quality Management | 25% | - Quality measurement and improvement - Utilization review processes - Accreditation standards (NCQA, CMS) |
| Specialized Services | 15% | - Telemedicine and virtual care - Behavioral health integration - Pharmacy benefit management |
| Care Management Programs | 25% | - Preventive and self-care programs - Case management for complex patients - Disease management principles |
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