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2025 AHIP - GENERAL COMPLIANCE ACTUAL EXAM QUESTIONS WITH CORRECT ANSWERS 100% VERIFIED GRADED A+

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2025 AHIP - GENERAL COMPLIANCE ACTUAL EXAM QUESTIONS WITH CORRECT ANSWERS 100% VERIFIED GRADED A+

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2025 AHIP - GENERAL COMPLIANCE
ACTUAL EXAM QUESTIONS WITH
CORRECT ANSWERS 100% VERIFIED
GRADED A+
Ansalesnagent,nemployednbynthenSponsor'snfirst-
tier,ndownstream,nornrelatednentityn(FDR),nsubmittednannapplicationnfornprocessingnandnrequested
ntwonthings:n1)ntonback-

datenthenenrollmentndatenbynonenmonth,nandn2)ntonwaivenallnmonthlynpremiumsnfornthenbeneficiar
y.nWhatnshouldnyoundo?n-
nCORRECTnANSWERSnProcessnthenapplicationnproperlyn(withoutnthenrequestednrevisions)—

informnyournsupervisornandnthencompliancenofficernaboutnthensalesnagent'snrequest

Younarenperformingnanregularninventorynofnthencontrollednsubstancesninnthenpharmacy.nYoundiscov
ernanminorninventoryndiscrepancy.nWhatnshouldnyoundo?n-
nCORRECTnANSWERSnFollownyournpharmacy'snprocedures

YounworknfornanSponsor.nLastnmonth,nwhilenreviewingnanCentersnfornMedicaren&nMedicaidnServices
n(CMS)nmonthlynreport,nyounidentifiednmultiplenindividualsnnotnenrolledninnthenplannbutnfornwhomn

thenSponsornisnpaid.nYounspokentonyournsupervisornwhonsaidndon'tnworrynaboutnit.nThisnmonth,nyou
nidentifynthensamenenrolleesnonnthenreportnagain.nWhatnshouldnyoundo?n-

nCORRECTnANSWERSnAlthoughnyounknownaboutnthenSponsor'snnon-

retaliationnpolicy,nyounarenstillnnervousnaboutnreporting—
tonbensafe,nyounsubmitnanreportnthroughnyourncompliancendepartment'snanonymousntipnlinentonav
oidnidentification

Youndiscovernannunattendednemailnaddressnornfaxnmachineninnyournofficenreceivingnbeneficiarynap
pealsnrequests.nYounsuspectnnononenisnprocessingnthenappeals.nWhatnshouldnyoundo?n-
nCORRECTnANSWERSnContactnyourncompliancendepartmentn(viancompliancenhotlinenornothernmec

hanism)

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2025 AHIP - GENERAL COMPLIANCE ACTUAL EXAM QUESTIONS WITH CORRECT ANSWERS 100% VERIFIED GRADED A+

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