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AHIP Discrimination Fraud Waste and Abuse Study Guide Practice Questions Answers PDF Download

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Subido en
12-05-2026
Escrito en
2025/2026

This AHIP compliance study guide supports learners preparing for healthcare compliance and Medicare certification assessments. The material includes original practice questions with explanations covering ACA Section 1557 nondiscrimination requirements, fraud waste and abuse prevention, disability access standards, limited English proficiency policies, federal healthcare regulations, and ethical marketing practices. Topics also include Medicare Parts A, B, C, and D compliance responsibilities, civil rights protections, communication accessibility, and penalties for noncompliance. Each section focuses on applying healthcare compliance principles to real insurance and patient service scenarios. The guide supports revision, self assessment, and preparation for AHIP and healthcare compliance exams.

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Institución
Healthcare Compliance
Grado
Healthcare Compliance

Vista previa del contenido

AHIP - Discrimination, Fraud, Waste, & Abuse - 2026 Study
online at https://quizlet.com/_hh0s77

1. Under ACA Section 1557, a health plan premium charge higher premiums.
sold through a state exchange may, based on an
individual's age and

2. As a result of violations of ACA Section 1557 a health plan may revoke an
nondiscrimination rules, or broker's appointment with
agent
health
the plan.

3. ACA Section 1557 rules for disability concern policies and procedures,
cess, and communication.
physical ac-

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

5. Which of the following statements best de- Section 1557 incorporates
scribes Section 1557 of the Affordable Care Act civil rights protections in
earlier
(ACA)? regardcolor,
race, to national origin,
agedisability,
and sex.

6. Section 1557 of the Affordable Care Act applies all health programs and
to ministered by or receiving
activities ad-
nancialfederal
assistance
fi- from HHS.

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

1/8

, AHIP - Discrimination, Fraud, Waste, & Abuse - 2026 Study
online at https://quizlet.com/_hh0s77

9. Which of the following statements best de- Entities principally engaged
scribes the scope of operations subject to Sec- health
in care, which includes
tion 1557 under the Final Rule (2024) of the health must comply with
insurers,
Biden Administration? Section
1557 for all programs they
offer.
10. For a health plan, what are the possible conse- Loss of federal business and
quences of violations of ACA Section 1557? pensatory
com- damages.

11. Auxiliary aids and services must be provided to 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 health plan cannot deny coverage to LEP
viduals
indi- and is required to
provide
language assistance to them,
free of
13. Under Section 1557, the 2020 Final Rule issued as biologic sex only,
charge.
during the Trump Administration sex was initial- whether a person was
meaning
ly defined____________ be maledetermined
or female attobirth.

14. Which entity enforces Section 1557 for pro- The Office of Civil Rights
grams that receive funding from and are admin- HHS.
(OCR) of
istered by HHS?

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

Escuela, estudio y materia

Institución
Healthcare Compliance
Grado
Healthcare Compliance

Información del documento

Subido en
12 de mayo de 2026
Número de páginas
12
Escrito en
2025/2026
Tipo
Examen
Contiene
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