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AHM-540 exam is an important AHIP Certification which can test your professional skills. Candidates want to pass the exam successfully to prove their competence. Fast2test AHIP technical experts have collected and certified 163 questions and answers of AHIP Certification - Medical Management which are designed to cover the knowledge points of the Planning and Designing AHIP Superdome Server Solutions and enhance candidates' abilities. With Fast2test AHM-540 preparation tests you can pass the AHIP Certification - Medical Management easily, get the AHIP certification and go further on AHIP career path.

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What is the duration of the AHM-540 Exam

  • Length of Examination: 120 minutes
  • Number of Questions: 163
  • Format: Multiple choices, multiple answers

Reference: https://www.ahip.org/courses/medical-management-ahm540

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Our Medical Management Preparation Material provides you everything you will need to take a AHIP AHIP Certification AHM-540 examination. Details are researched and produced by AHIP Certification Experts who are constantly using industry experience to produce precise, and logical.

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AHM-540 Exam Reference

AHIP AHM-540 Exam Syllabus Topics:

SectionObjectives
Clinical Practice and Quality Management- Clinical practice management
  • 1. Evidence-based clinical guidelines
    • 2. Medical policies and practice parameters
      - Quality management
      • 1. Quality improvement methodologies
        • 2. Quality assessment
          • 3. Performance measurement
            The Medical Management Function- Role of medical management
            • 1. Responsibilities of the medical director
              • 2. Delegation and subdelegation of medical management functions
                • 3. Goals and components of medical management programs
                  • 4. Medical management committees
                    - Relationship of medical management to other health plan functions
                    • 1. Claims administration
                      • 2. Risk management
                        • 3. Network management
                          • 4. Finance
                            • 5. Sales and marketing
                              • 6. Legal affairs
                                • 7. Information management and technology
                                  - Environmental influences on medical management
                                  • 1. Purchaser, provider, and member expectations
                                    • 2. Accreditation organizations and standards
                                      • 3. Impact of environmental factors on delegation
                                        • 4. Federal and state regulatory requirements
                                          Medical Management Across Care Settings- Medical management for pharmacy services
                                          • 1. Specialty services management
                                            • 2. Pharmacy benefit management
                                              - Medical management for acute care
                                              • 1. Post-acute care management
                                                • 2. Acute care strategies
                                                  - Medical management for government-sponsored programs
                                                  • 1. Other government-sponsored programs
                                                    • 2. Medicaid
                                                      • 3. Medicare
                                                        Preventive and Care Management Programs- Preventive care and self-care programs
                                                        • 1. Health promotion initiatives
                                                          • 2. Member education and wellness
                                                            - Disease management
                                                            • 1. Chronic disease programs
                                                              • 2. Population health management
                                                                - Case management
                                                                • 1. Management of complex cases
                                                                  • 2. Care coordination
                                                                    - Utilization management
                                                                    • 1. Authorization and utilization review processes
                                                                      • 2. Medical necessity review

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