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AHIP 2026 Exam questions on Discrimination, Fraud, Waste, & Abuse

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AHIP 2026 Exam questions on Discrimination, Fraud, Waste, & Abuse

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AHIP 2026 Exam questions on Discrimination, Fraud, Waste, & Abuse structured questions
with their correct answers
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, AHIP 2026 Exam questions on Discrimination, Fraud, Waste, & Abuse structured questions
with their correct answers
1. Under ACA Section 1557, a health plan premium sold through
a state ex- change may, based on an individual's age and Answer:
charge higher premiums.
2. As a result of violations of ACA Section 1557 nondiscrimination
rules, Answer: a health plan may revoke an agent or broker's appointment with the health
plan.
3. ACA Section 1557 rules for disability concern Answer: policies and
procedures, physical access, and communication.
4. Which Medicare programs are covered by ACA Section 1557 under
the Biden Administration's Final Rule (2024)? Answer: Parts A, C, and D, and
Part B.
5. Which of the following statements best describes Section 1557 of the
Afford- able Care Act (ACA)? Answer: Section 1557 incorporates earlier civil rights protections
in regard to race, color, national origin, disability, age and sex.
6. Section 1557 of the Affordable Care Act applies to Answer: all health
programs and activities administered by or receiving federal financial assistance from HHS.
7. Which of the following would be considered permissible under
Section 1557?-
Answer: Broker Mary Jones has recruited a diverse workforce. She encourages her agents to
prospect through communi- ty-based marketing and within their community of influence.
8. Which of these actions is most likely to be permitted in dealing
with a person with limited English proficiency? Answer: Allowing a child to
interpret in an emergency.
9. Which of the following statements best describes the scope of
operations subject to Section 1557 under the Final Rule (2024) of the
Biden Administra- tion? Answer: Entities principally engaged in health care, which includes
health insurers, must comply with Section 1557 for all programs they otter.
10. For a health plan, what are the possible consequences of
violations of ACA Section 1557? Answer: Loss of federal business and
compensatory damages.
11. Auxiliary aids and services must be provided to individuals with
2/
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Subido en
12 de mayo de 2026
Número de páginas
10
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2025/2026
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Examen
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