Health Plan Finance and Risk Management

Here you have the best AHIP AHM-520 practice exam questions

You have 212 total questions across 43 pages (5 per page)
These questions were last updated on February 16, 2026
This site is not affiliated with or endorsed by AHIP.

Question 1 of 212

The Norton Health Plan used blended rating to develop a premium rate for the Roswell Company, a large employer group. Norton assigned Roswell a credibility factor of 0.7 (or 70%). Norton calculated Roswell’s manual rate to be $200 and its experience claims cost as $180. Norton’s retention charge is $3.
This information indicates that Roswell’s blended rate is:

$186

$189

$194

$197

Question 2 of 212

Doctors’ Care is an individual practice association (IPA) under contract to the Jasper Health Plan to provide primary and secondary care to Jasper’s members. Jasper’s capitation payments compensate Doctors’ Care for all physician services and associated diagnostic tests and laboratory work. The physicians at Doctors’ Care, as a group, determine how individual physicians in the group will be remunerated.
The type of capitation used by Jasper to compensate Doctors’ Care is known as:

PCP capitation

Partial capitation

Full professional capitation

Specialty capitation

Question 3 of 212

If the total asset turnover ratio for the Fjord health plan is 1.08 and the total asset turnover ratio for the Grove health plan is 1.35, then a financial analyst could correctly infer that Fjord has used its assets more effectively than has Grove.

True

False

Question 4 of 212

This concept, which holds that a company should record the amounts associated with its business transactions in monetary terms, assumes that the value of money is stable over time. This concept provides objectivity and reliability, although its relevance may fluctuate. From the following answer choices, choose the name of the accounting concept that matches the description.

Measuring-unit concept

Full-disclosure concept

Cost concept

Time-period concept

Question 5 of 212

Because a health plan cannot decline coverage for individuals who are eligible for conversion of group health coverage to individual health coverage, the bulk of the health plan's underwriting for conversion policies is accomplished through health plan design.

True

False

About the AHIP AHM-520 Certification Exam

About the Exam

The AHIP AHM-520 (Health Plan Finance and Risk Management) validates your knowledge and skills. Passing demonstrates proficiency and can boost your career prospects in the field.

How to Prepare

Work through all 212 practice questions across 43 pages. Focus on understanding the reasoning behind each answer rather than memorizing responses to be ready for any variation on the real exam.

Why Practice Exams?

Practice exams help you familiarize yourself with the question format, manage your time, and reduce anxiety on the test day. Our AHM-520 questions are regularly updated to reflect the latest exam objectives.