AHIP - Discrimination, Fraud, Waste, & Abuse Updated Exam
2026 WITH Recent Newest Verified And Well Analyzed Exam
Questions (Actual Exam 2026-2027) Correct Detailed &
Verified ANSWERS (100% Accurate Solutions) ALREADY
GRADED A+||NEWEST VERSION Of The Exam Guarantee
Pass!!
As a result of violations of ACA Section 1557 nondiscrimination rules, -ANSWERS-a
health plan may revoke an agent or broker's appointment with the health plan.
ACA Section 1557 rules for disability concern -ANSWERS-policies and procedures,
physical access, and communication.
Which Medicare programs are covered by ACA Section 1557 under the Biden
Administration's Final Rule (2024)? -ANSWERS-Parts A, C, and D, and Part B.
Which of the following statements best describes Section 1557 of the Affordable Care
Act (ACA)? -ANSWERS-Section 1557 incorporates earlier civil rights protections in
regard to race, color, national origin, disability, age and sex.
Section 1557 of the Affordable Care Act applies to -ANSWERS-all health programs and
activities administered by or receiving federal financial assistance from HHS.
Under ACA Section 1557, a health plan premium sold through a state exchange may,
based on an individual's age and -ANSWERS-charge higher premiums.
For a health plan, what are the possible consequences of violations of ACA Section
1557? -ANSWERS-Loss of federal business and compensatory damages.
Auxiliary aids and services must be provided to individuals with disabilities, 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 following:
, I. large print materials
II. qualified sign language interpreters
III. braille materials and displays
IV. screen reader software -ANSWERS-I, II, III, and IV
Under ACA Section 1557, a health plan -ANSWERS-cannot deny coverage to LEP
individuals and is required to provide language assistance to them, free of charge.
Under Section 1557, the 2020 Final Rule issued during the Trump Administration sex
was initially defined____________ -ANSWERS-as biologic sex only, meaning whether
a person was determined to be male or female at birth.
Which entity enforces Section 1557 for programs that receive funding from and are
administered by HHS? -ANSWERS-The Office of Civil Rights (OCR) of HHS.
You are performing a regular inventory of the controlled substances in the pharmacy.
You discover a minor inventory discrepancy. What should you do? -ANSWERS-Follow
your pharmacy's procedures.
A person drops off a prescription for a beneficiary who is a "regular" customer. The
prescription is for a controlled substance with a quantity of 160. This beneficiary
normally receives a quantity of 60, not 160. You review the prescription and have
concerns about possible forgery. What is your next step? -ANSWERS-Call the
prescriber to verify the quantity
Which of the following requires intent to obtain payment and the knowledge the actions
are wrong? -ANSWERS-Fraud
You are in charge of paying claims submitted by providers. You notice a certain
diagnostic provider ("Doe Diagnostics") requested a substantial payment for a large
patient group. Many of these claims are for a certain procedure. You review the same
type of procedure for other diagnostic providers and realize Doe Diagnostics' claims far
exceed any other provider you reviewed. What should you do? -ANSWERS-Consult
2026 WITH Recent Newest Verified And Well Analyzed Exam
Questions (Actual Exam 2026-2027) Correct Detailed &
Verified ANSWERS (100% Accurate Solutions) ALREADY
GRADED A+||NEWEST VERSION Of The Exam Guarantee
Pass!!
As a result of violations of ACA Section 1557 nondiscrimination rules, -ANSWERS-a
health plan may revoke an agent or broker's appointment with the health plan.
ACA Section 1557 rules for disability concern -ANSWERS-policies and procedures,
physical access, and communication.
Which Medicare programs are covered by ACA Section 1557 under the Biden
Administration's Final Rule (2024)? -ANSWERS-Parts A, C, and D, and Part B.
Which of the following statements best describes Section 1557 of the Affordable Care
Act (ACA)? -ANSWERS-Section 1557 incorporates earlier civil rights protections in
regard to race, color, national origin, disability, age and sex.
Section 1557 of the Affordable Care Act applies to -ANSWERS-all health programs and
activities administered by or receiving federal financial assistance from HHS.
Under ACA Section 1557, a health plan premium sold through a state exchange may,
based on an individual's age and -ANSWERS-charge higher premiums.
For a health plan, what are the possible consequences of violations of ACA Section
1557? -ANSWERS-Loss of federal business and compensatory damages.
Auxiliary aids and services must be provided to individuals with disabilities, 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 following:
, I. large print materials
II. qualified sign language interpreters
III. braille materials and displays
IV. screen reader software -ANSWERS-I, II, III, and IV
Under ACA Section 1557, a health plan -ANSWERS-cannot deny coverage to LEP
individuals and is required to provide language assistance to them, free of charge.
Under Section 1557, the 2020 Final Rule issued during the Trump Administration sex
was initially defined____________ -ANSWERS-as biologic sex only, meaning whether
a person was determined to be male or female at birth.
Which entity enforces Section 1557 for programs that receive funding from and are
administered by HHS? -ANSWERS-The Office of Civil Rights (OCR) of HHS.
You are performing a regular inventory of the controlled substances in the pharmacy.
You discover a minor inventory discrepancy. What should you do? -ANSWERS-Follow
your pharmacy's procedures.
A person drops off a prescription for a beneficiary who is a "regular" customer. The
prescription is for a controlled substance with a quantity of 160. This beneficiary
normally receives a quantity of 60, not 160. You review the prescription and have
concerns about possible forgery. What is your next step? -ANSWERS-Call the
prescriber to verify the quantity
Which of the following requires intent to obtain payment and the knowledge the actions
are wrong? -ANSWERS-Fraud
You are in charge of paying claims submitted by providers. You notice a certain
diagnostic provider ("Doe Diagnostics") requested a substantial payment for a large
patient group. Many of these claims are for a certain procedure. You review the same
type of procedure for other diagnostic providers and realize Doe Diagnostics' claims far
exceed any other provider you reviewed. What should you do? -ANSWERS-Consult
