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Exam (elaborations)

AHIP 2026 Discrimination, Fraud, Waste & Abuse | Final Exam Review & Practice Questions

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Prepare for the AHIP 2026 training and certification requirements with this focused review resource covering discrimination, fraud, waste, and abuse (FWA). Designed to help Medicare professionals review important compliance concepts and prepare for related assessments. Key topics include: Discrimination and prohibited practices Medicare compliance requirements Fraud, waste, and abuse (FWA) Identifying potential fraudulent activity Reporting suspected fraud and abuse Compliance responsibilities Prevention and detection strategies Beneficiary protections Important terminology and concepts Exam-focused review Ideal for: AHIP 2026 exam preparation Medicare insurance professionals FWA compliance review Discrimination training Practice and self-assessment Final certification review Use this resource as a supplementary study aid alongside your official AHIP training materials and current Medicare compliance guidance.

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1. Under./ACA./Section./1557,./a./health./plan./premium./sold./through./a./state./ex-
change./may,./based./on./an./individual's./age./and:./charge./higher./premiums.
2. As./a./result./of./violations./of./ACA./Section./1557./nondiscrimination./rules,:./a./health./p
lan./may./revoke./an./agent./or./broker's./appointment./with./the./health./plan.
3. ACA./Section./1557./rules./for./disability./concern:./policies./and./procedures,./physical./access,./and./c
ommunication.
4. Which. / Medicare. / programs. / are. / covered. / by. / ACA. / Section. / 1557. / under. / the. / Bide
n./Administration's./Final./Rule./(2024)?:./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)?:./Section./1557./incorporates./earlier./civil./rights./protections./in./regard./to./race,./color,./natio
nal./origin,./disability,./age./and./sex.
6. Section./1557./of./the./Affordable./Care./Act./applies./to:./all./health./programs./and./activities./ad
ministered./by./or./receiving./federal./financial./assistance./from./HHS.
7. Which. / of. / the. / following. / would. / be. / considered. / permissible. / under. / Section. /
1557?:./Broker./Mary./Jones./has./recruited./a./diverse./workforce../She./encourages./her./agents./to./prospect./through. / c
ommunity-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?:./Allowing./a./child./to./interpret./in./an./emergency.
9. Which./of./the./following./statements./best./describes./the./scope./of./operations./subje
ct. / to. / Section. / 1557. / under. / the. / Final. / Rule. / (2024). / of. / the. / Biden. / Administra-
tion?:. / Entities./principally./engaged./in./health./care,./which./includes./health./insurers,./must./comply./with./Section./1557./fo
r./all./programs./they./otter.
10. For./a./health./plan,./what./are./the./possible./consequences./of./violations./of./ACA./Sect
ion./1557?:./Loss./of./federal./business./and./compensatory./damages.
11. Auxiliary. / aids. / and. / services. / must. / be. / provided. / to. / individuals. / with. / disabilitie
s,./such./as./those./suffering./from./vision./or./hearing./impairments,./free./of./charge,
./and./in./a./timely./manner. ./Auxiliary./aids./and./services./include ./which./of./the./follo


wing:
I. large./print./materials
II. qualified. / sign. / language. / interpreters
III. braille. / materials. / and. / displays

, IV. screen./reader./software:./I,./II,./III,./and./IV

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