Fraud Waste and Abuse 2018 AHIP, Top Exam Questions and answers, 100% Accurate, Verified.
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Fraud Waste And Abuse
Fraud Waste and Abuse 2018 AHIP, Top Exam Questions and answers, 100% Accurate, Verified.
ACA Section 1557 differs from earlier legislation in providing broader protection against discrimination based on - -sex.
Section 1557 of the Affordable Care Act applies to - -all health programs and a...
Fraud Waste and Abuse 2018 AHIP, Top
Exam Questions and answers, 100%
Accurate, Verified.
ACA Section 1557 differs from earlier legislation in providing broader protection against discrimination
based on - ✔✔-sex.
Section 1557 of the Affordable Care Act applies to - ✔✔-all health programs and activities administered
by or receiving federal financial assistance from HHS
Which Medicare programs are covered by ACA Section 1557? - ✔✔-Parts A, C, and D, but not B.
Under ACA Section 1557, prohibited actions involve - ✔✔-eligibility, claims, and marketing.
Under ACA Section 1557, a person - ✔✔-cannot be discriminated against based on her legal or illegal
immigration status or ability to speak English.
Under ACA Section 1557, a health plan - ✔✔-cannot deny coverage to LEP individuals and is required to
provide language assistance to them, free of charge
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.
Under ACA Section 1557, sex discrimination includes a person's - ✔✔-sex, pregnancy, sex stereotypes,
or gender identity
Under ACA Section 1557, a health plan sold through a state exchange may, based on an individual's age,
- ✔✔-charge higher premiums.
, ACA Section 1557 rules for disability concern - ✔✔-Policies and procedures, physical access, and
communication.
If a health plan violates ACA Section 1557 nondiscrimination protections, it may be - ✔✔-required to
take corrective action and sometimes pay damages, and it may be sued by individuals.
As a result of violations of ACA Section 1557 nondiscrimination rules, - ✔✔-a health plan may revoke an
agent or broker's appointment with the health plan.
For a health plan, what are the possible consequences of violations of ACA Section 1557? - ✔✔-Loss of
federal business and compensatory damages.
Which area of potential discrimination is not generally covered by ACA Section 1557? - ✔✔-Employment
(with the exception of the provision of health insurance).
Which of the following requires intent to obtain payment and the knowledge that the actions are
wrong? - ✔✔-. Fraud
Which of the following is NOT potentially a penalty for violation of a law or regulation prohibiting Fraud,
Waste, and Abuse (FWA)? - ✔✔-Deportation
A person comes to your pharmacy to drop 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? - ✔✔-Call the prescriber to verify the quantity
Your job is to submit a risk diagnosis to the Centers for Medicare & Medicaid Services (CMS) for the
purpose of payment. As part of this job you verify, through a certain process, that the data is accurate.
Your immediate supervisor tells you to ignore the Sponsor's process and to adjust/add risk diagnosis
codes for certain individuals. What should you do? - ✔✔-Report the incident to the compliance
department (via compliance hotline or other mechanism)
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