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AHIP FRAUD WASTE AND ABUSE EXAM
NEWEST 2025 ACTUAL EXAM COMPLETE 150
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
Which of these actions is most likely to be permitted in dealing
with a person with limited English proficiency? - ANSWER-a.
Allowing a child to interpret in an emergency. Correct
Under ACA Section 1557, sex discrimination includes a person's
- ANSWER-c. sex, pregnancy, sex stereotypes, or gender
identity. Correct
Under ACA Section 1557, a health plan sold through a state
exchange may, based on an individual's age, - ANSWER-d.
charge higher premiums. Correct
ACA Section 1557 rules for disability concern - ANSWER-d.
Policies and procedures, physical access, and communication.
Correct
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Which area of potential discrimination is not generally covered
by ACA Section 1557? - ANSWER-c. Employment (with the
exception of the provision of health insurance). Correct
As a result of violations of ACA Section 1557 nondiscrimination
rules, - ANSWER-c. a health plan may revoke an agent or
broker's appointment with the health plan. Correct
For a health plan, what are the possible consequences of
violations of ACA Section 1557? - ANSWER-b. Loss of federal
business and compensatory damages. Correct
If a health plan violates ACA Section 1557 nondiscrimination
protections, it may be - ANSWER-c. required to take corrective
action and sometimes pay damages, and it may be sued by
individuals. Correct
Once a corrective action plan is started, the corrective actions
must be monitored annually to ensure they are effective. -
ANSWER-False
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Any person who knowingly submits false claims to the
Government is liable for five times the Government's damages
caused by the violator plus a penalty. - ANSWER-False
These are examples of issues that should be reported to a
Compliance Department: suspected Fraud, Waste, and Abuse
(FWA); potential health privacy violation, and unethical
behavior/employee misconduct. - ANSWER-True
Bribes or kickbacks of any kind for services that are paid under
a Federal health care program (which includes Medicare)
constitute fraud by the person making as well as the person
receiving them. - ANSWER-True Correct
Waste includes any misuse of resources such as the overuse of
services, or other practices that, directly or indirectly, result in
unnecessary costs to the Medicare Program. - ANSWER-True
You can help prevent Fraud, Waste, and Abuse (FWA) by doing
all of the following:
• Look for suspicious activity;
• Conduct yourself in an ethical manner;
AHIP FRAUD WASTE AND ABUSE EXAM
NEWEST 2025 ACTUAL EXAM COMPLETE 150
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
Which of these actions is most likely to be permitted in dealing
with a person with limited English proficiency? - ANSWER-a.
Allowing a child to interpret in an emergency. Correct
Under ACA Section 1557, sex discrimination includes a person's
- ANSWER-c. sex, pregnancy, sex stereotypes, or gender
identity. Correct
Under ACA Section 1557, a health plan sold through a state
exchange may, based on an individual's age, - ANSWER-d.
charge higher premiums. Correct
ACA Section 1557 rules for disability concern - ANSWER-d.
Policies and procedures, physical access, and communication.
Correct
,2|Page
Which area of potential discrimination is not generally covered
by ACA Section 1557? - ANSWER-c. Employment (with the
exception of the provision of health insurance). Correct
As a result of violations of ACA Section 1557 nondiscrimination
rules, - ANSWER-c. a health plan may revoke an agent or
broker's appointment with the health plan. Correct
For a health plan, what are the possible consequences of
violations of ACA Section 1557? - ANSWER-b. Loss of federal
business and compensatory damages. Correct
If a health plan violates ACA Section 1557 nondiscrimination
protections, it may be - ANSWER-c. required to take corrective
action and sometimes pay damages, and it may be sued by
individuals. Correct
Once a corrective action plan is started, the corrective actions
must be monitored annually to ensure they are effective. -
ANSWER-False
, 3|Page
Any person who knowingly submits false claims to the
Government is liable for five times the Government's damages
caused by the violator plus a penalty. - ANSWER-False
These are examples of issues that should be reported to a
Compliance Department: suspected Fraud, Waste, and Abuse
(FWA); potential health privacy violation, and unethical
behavior/employee misconduct. - ANSWER-True
Bribes or kickbacks of any kind for services that are paid under
a Federal health care program (which includes Medicare)
constitute fraud by the person making as well as the person
receiving them. - ANSWER-True Correct
Waste includes any misuse of resources such as the overuse of
services, or other practices that, directly or indirectly, result in
unnecessary costs to the Medicare Program. - ANSWER-True
You can help prevent Fraud, Waste, and Abuse (FWA) by doing
all of the following:
• Look for suspicious activity;
• Conduct yourself in an ethical manner;
