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AHIP Fraud, Waste & Abuse (FWA) Study Guide (2026/2027) | Medicare Compliance Practice Questions

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Comprehensive study resource for AHIP Medicare + Fraud, Waste, and Abuse (FWA) Training (2026/2027). This material reviews essential Medicare compliance concepts including discrimination and nondiscrimination requirements, fraud, waste, abuse (FWA), general compliance, CMS regulations, reporting obligations, ethical conduct, Medicare Parts C and D compliance, beneficiary protections, and healthcare integrity. It serves as a structured companion for reinforcing compliance knowledge and preparing for AHIP certification through organized practice questions, detailed explanations, and scenario-based learning aligned with current CMS and AHIP training objectives.

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AHIP -
Discrimination,
Fraud, Waste, &
1. Under ACA Section 1557, a health charge higher
sold through a state exchange may, based on
an individual's age and

2. As a result of violations of ACA a health plan may
nondiscrimination rules, or broker's
health plan.

3. ACA Section 1557 rules for disability policies and
cess, and communication.

4. Which Medicare programs are covered Parts A, C, and D,
Section 1557 under the Biden Administration's
Final Rule (2024)?

5. Which of the following statements Section 1557
scribes Section 1557 of the Affordable Care Act civil rights
(ACA)? race, color,
age and sex.

6. Section 1557 of the Affordable Care all health
to ministered by or
nancial assistance from HHS.

7. Which of the following would be Broker Mary Jones
missible under Section 1557? diverse workforce.
her agents to prospect
through com-
munity-based
marketing and within
8. Which of these actions is most likely to Allowing a child to
mitted in dealing with a person with limited Eng- emergency.
lish proficiency?

1/8

, AHIP - Discrimination,
Fraud, Waste, & Abuse -
2026 Study online at
9. Which of the following Entities principally engaged in
scribes the scope of operations subject to health care, which includes
tion 1557 under the Final Rule (2024) of insurers, must comply with
Biden Administration? 1557 for all programs they
offer.
10. For a health plan, what are the Loss of federal business and
quences of violations of ACA Section 1557? pensatory damages.

11. Auxiliary aids and services must be provided I, II, III, and IV
individuals with disabilities, such as those suf-
fering from vision or hearing impairments, free
of charge, and in a timely manner. Auxiliary aids
and services include which of the following: I.
large print materials
II. qualified sign language interpreters
III. braille materials and displays
IV. screen reader software

12. Under ACA Section 1557, a cannot deny coverage to LEP
viduals and is required to
provide
language assistance to
them, free of
13. Under Section 1557, the 2020 as biologic sex only, meaning
during the Trump Administration sex was whether a person was
ly defined____________ be male or female at birth.

14. Which entity enforces Section The Office of Civil Rights (OCR)
grams that receive funding from and are HHS.
istered by HHS?

15. You are performing a regular Follow your pharmacy's
controlled substances in the pharmacy. You
2/8

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