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Pass your AHIP AHM-530 Exam with accurate Questions & Answers
Network Management
Last Updated: Oct 4, 2024
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202 Questions and Answers for the AHIP AHM-530 exam
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AHIP Network Management Syllabus
- Map out how health insurance providers select, contract with, and compensate specialists and health care facilities/ Learn the process for network provider selection
- Recognize special requirements that affect network management for Medicare, Medicaid, and workers’ compensation networks
- Gain a detailed understanding of the scope and organization of the network management function within health insurance provider organizations
- Explore how health insurance providers ensure their provider networks remain adequate to meet member needs/ Understand how network strategies improve access, quality, and cost-effectiveness
- Identify the primary responsibilities and obligations of health insurance providers and health care providers under a provider contract
- Master the essential elements of a contractual relationship between health insurance providers and health care providers