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AHIP AHM-530 Exam Dumps - Actual Questions Answers

Network Management

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  • Last Update: Oct 14, 2025
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AHM-530 Questions and Answers

Question # 1

The Portway Hospital is qualified to receive Medicaid subsidy payments as a disproportionate share hospital (DHS). The DHS payments that Portway receives are

A.

Made for services rendered to specific patients

B.

Made with matching state and federal funds

C.

Included in the Medicaid capitation payment made to patients’ health plans

D.

Defined as cost-based reimbursement (CBR) equal to 100% of Portway’s reasonable costs of providing services to Medicaid recipients

Question # 2

The two basic approaches that Medicaid uses to contract with health plans are open contracting and selective contracting. One true statement about these approaches to contracting is that:

A.

Open contracting requires health plans to meet minimum performance standards outlined in a state's request for proposal (RFP)

B.

Open contracting makes it possible for the Medicaid agency to offer enrollment volume guarantees

C.

Selective contracting requires any health plan that meets the state's performance standards and the federal Medicaid requirements to enter into a Medicaid contract

D.

Selective contracting requires health plans to bid competitively for Medicaid contracts

Question # 3

The Adobe Health Plan complies with all of the provisions of the Newborns' and Mothers' Health Protection Act (NMHPA) of 1996. Kristen Netzger, an Adobe enrollee, was hospitalized for a cesarean delivery. Amy Davis, also an Adobe enrollee, was hospitalized for a normal delivery. From the following answer choices, select the response that indicates the minimum length of time for which Adobe, under NMHPA, most likely must provide benefits for the hospitalizations of Ms. Netzger and Ms. Davis.

A.

Ms. Netzger = 48 hours

Ms. Davis = 48 hours

B.

Ms. Netzger = 72 hours

Ms. Davis = 72 hours

C.

Ms. Netzger = 96 hours

Ms. Davis = 48 hours

D.

Ms. Netzger = 96 hours

Ms. Davis = 72 hours

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AHIP AHM-530 Exam Dumps FAQs

1. What is the AHIP AHM-540 Exam?

The AHIP AHM-530 exam, also known as the Network Management exam, assesses your understanding of how health insurance providers build, manage, and maintain provider networks to deliver high-quality, cost-effective care.

2. What topics are covered in the AHM-530 Network Management Exam?

The AHM-530 Network Management exam includes:

  • Scope and organization of network management
  • Provider selection process
  • Contractual relationships
  • Responsibilities under provider contracts
  • Compensation models
  • Medicare, Medicaid, and workers’ comp requirements
  • Network adequacy and maintenance

3. Who should take the AHM-530 Exam?

The AHIP AHM-530 exam is ideal for case managers, brokers, medical directors, and professionals involved in provider contracting, network strategy, or health plan operations.

4. How many questions are on the AHM-530 Exam?

The AHIP AHM-530 exam typically includes 90 multiple-choice questions. You’ll have 120 minutes to complete it in a flexible, online format.

5. What is the cost for enrolling in the AHM-530 course?

The AHIP AHM-530 course costs $220 for AHIP members and $280 for non-members.

6. What is the difference between the AHIP AHM-530 and AHM-540 Exams?

Here's a key difference between the AHIP AHM-530 and AHIP AHM-540 exams

  • AHM-530 Exam: The AHM-530 Network Management exam focuses on how health insurance providers build and manage provider networks. It covers topics like provider selection, contracting, compensation models, and network adequacy.
  • AHM-540 Exam: The AHM-540 Medical Management exam centers on how insurers use medical management tools to improve care quality and cost-efficiency. It includes disease management, pharmacy services, preventive care, and quality improvement strategies

7. How does DumpsMate help with AHM-530 Exam preparation?

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8. Are DumpsMates AHM-530 exam dumps accurate and up to date?

Yes, our AHM-530 exam dumps are regularly updated to reflect the latest syllabus and real exam questions. All content is fact-based and aligned with AHIP’s official objectives.

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Yes, our AHM-530 PDF questions and testing engine are compatible with desktops, laptops, and mobile devices, allowing flexible study anytime, anywhere.

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