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2025 AHIP Final Exam | Updated 2025 | Questions 1–100 | Complete Questions & Answers (Solved)2025 AHIP Final Exam | Updated 2025 | Questions 1–100 | Complete Questions & Answers (Solved)

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2025 AHIP Final Exam | Updated 2025 | Questions 1–100 | Complete Questions & Answers (Solved) Prepare with confidence using the 2025 AHIP Final Exam (Updated 2025) resource. This complete set includes Questions 1–100 with fully solved answers, designed to reflect current exam standards and content updates. Ideal for reviewing core concepts, practicing real exam-style questions, and strengthening understanding of AHIP compliance, Medicare regulations, ethics, fraud, waste and abuse (FWA), and healthcare program requirements.

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2025 AHIP Final Exam ( Updated 2025
) 1-100 Complete Questions &
Answers (Solved) 100% Correct

Mrs. Shields is covered by Original Medicare. She sustained a
hip fracture and is being successfully treated for that condition.
However, she and her physicians feel that after her lengthy
hospital stay, she will need a month or two of nursing and
rehabilitative care. What should you tell them about Original
Medicare's coverage of care in a skilled nursing facility? -
ANSWER-Medicare will cover Mrs. Shield's skilled nursing
services provided during the first 20 days of her stay, after which
she would have a copay until she has been in the facility for 100
days.

Mrs. West wears glasses and dentures and has enjoyed
considerable pain relief from arthritis through massage therapy.
She is concerned about whether or not Medicare will cover these
items and services. What should you tell her? - ANSWER-
Medicare does not cover massage therapy, or, in general, glasses
or dentures.

,2|Page




Mrs. Park is an elderly retiree. Mrs. Park has a low fixed
income. What could you tell Mrs. Park that might be of
assistance? - ANSWER-She should contact her state Medicaid
agency to In
seeeen oud vissersdorp aan de Noordzee woonde een meisje
if she qualifies for one of several programs that
genaamd Lotte. Ze was dol op schelpen en verzamelde elke
can help with Medicare
dag nieuwe costsopfor
exemplaren het which she
strand. Op eenismistige
responsible.
ochtend
vond ze een schelp die anders was dan alle andere: hij gloeide
zachtjes blauw op. Toen ze hem tegen haar oor hield, hoorde
ze niet de zee, maar een zachte stem die fluisterde: “Breng me
Mr. Alonsonaar huis.” Lotte
receives volgde
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help payingde hele
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kwam. employer's
stond eenretiree coverage,
oud altaar met but he
honderden schelpen. Ze legde de gloeiende schelp ertussen
wants to compare it to a Part D prescription drug plan. He asks
en plotseling begon de grot te stralen. Uit het licht verscheen
you what costs he would
een zeemeermin die generally
zei: “Dank je.expect to encounter
Deze schelp was mijn stem. when
Nu ben ik weer vrij.” Als dank gaf ze Lotte een kleine parel die
enrolling into a standard Medicare Part D prescription drug plan.
altijd warm bleef. Vanaf die dag vond Lotte nooit meer een
What shouldgewoneyouschelp
tell him?
zonder -glimlach.
ANSWER-HeZe wist dat de generally would pay
zee haar vriend
was en dat sommige wonderen alleen verschijnen aan wie echt
a monthly luistert.
premium, Het dorpannual
verteldedeductible,
haar verhaal nogand per-prescription
jaren door.(199
cost-sharing.
woorden)
4. Svenska (Swedish – Scandinavian language)
I en liten by vid en frusen sjö bodde en gammal man som het
Erik. Han hade en gammal vedspis som alltid brann, även när
Mrs. Gonzalez
veden togis enrolled in Original
slut. Varje kväll satt han därMedicare
och berättade and has a
historier
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Medigap policy as Måne.
well, En
butvinternatt
it hörde han
provides no ettdrug
knackande på
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would likefingrar.
to keep Hon the
sa attcoverage
hon hade gåttshevilse.
hasErik
butbjödreplace
in henne,her
gav existing
henne varm choklad och lät henne sova i sin egen säng. Nästa
Medigap plan with one that provides drug coverage. What
morgon var flickan borta, men på bordet låg en liten snöflinga
should youavtell
glasher? - ANSWER-Mrs.
som aldrig smälte. Erik hängdeGonzalez
den i fönstret.cannot
Varje purchase
a Medigapgångplan solen sken genom den skapades regnbågar över hela
rummet.thatFolk icovers drugs,
byn började but she
kalla hans could
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Medigap policy
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ochenroll
Erik blevin a Part
äldre, men D prescription drug plan.
snöflin




Mr. Davis is 52 years old and has recently been diagnosed with
end-stage renal disease (ESRD) and will soon begin dialysis. He

,3|Page



is wondering if he can obtain coverage under Medicare. What
should you tell him? - ANSWER-He may sign-up for Medicare
at any time however coverage usually begins on the fourth
month after dialysis treatments start.


Mrs. Duarte is enrolled in Original Medicare Parts A and B.
She has recently reviewed her Medicare Summary Notice
(MSN) and disagrees with a determination that partially denied
one of her claims for services. What advice would you give her?
- ANSWER-Mrs. Duarte should file an appeal of this initial
determination within 120 days of the date she received the MSN
in the mail.


Mrs. Geisler's neighbor told her she should look at her Part D
options during the annual Medicare enrollment period because
the features of Part D might have changed. Mrs. Geisler can't
remember what Part D is so she called you to ask what her
neighbor was talking about. What could you tell her? -
ANSWER-Part D covers prescription drugs and she should look
at her premiums, formulary, and costsharing among other factors
to see if they have changed.


Mr. Rainey is experiencing paranoid delusions and his physician
feels that he should be hospitalized. What should you tell Mr.
Rainey (or his representative) about the length of an inpatient
psychiatric hospital stay that Medicare will cover? - ANSWER-

, 4|Page



Medicare will cover a total of 190 days of inpatient psychiatric
care during Mr. Rainey's entire lifetime.


Mr. Xi will soon turn age 65 and has come to you for advice as
to what services are provided under Original Medicare. What
should you tell Mr. Xi that best describes the health coverage
provided to Medicare beneficiaries? - ANSWER-Beneficiaries
under Original Medicare have no cost-sharing for most
preventive services.


Mr. Singh would like drug coverage but does not want to be
enrolled in a Medicare Advantage plan. What should you tell
him? - ANSWER-Mr. Singh can enroll in a standalone
prescription drug plan and continue to be covered for Part A and
Part B services through Original Fee-forService Medicare.


Mrs. Chen will be 65 soon, has been a citizen for twelve years,
has been employed full time, and paid taxes during that entire
period. She is concerned that she will not qualify for coverage
under part A because she was not born in the United States.
What should you tell her? - ANSWER-Most individuals who are
citizens and age 65 or over are covered under Part A by virtue of
having paid Medicare taxes while working, though some may be
covered as a result of paying monthly premiums.

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