Ahip final exam stuvia - Study guides, Class notes & Summaries

Under Section 1557, the 2020 Final Rule issued during the Trump Administration sex was initially defined____________ - ANSWERAs biologic sex only, meaning whether a person was determined to be male or female at birth. For a health plan, what are the possible consequences of violations of ACA Section 1557? - ANSWERLoss 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 im...

You are performing a regular inventory of the controlled substances in the pharmacy. You discover a minor inventory discrepancy. What should you do? - ANSWERFollow your pharmacy's procedures. Which of the following is NOT potentially a penalty for violation of a law or regulation prohibiting fraud, waste, and abuse (FWA)? - ANSWERDeportation 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 u...

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When you market Medicare Advantage and Part D plans, what may you offer as a gift to induce enrollment in a plan? - ANSWERYou may provide gifts or prizes to all potential enrollees during an event that does not exceed $15 in retail value. By contacting plans available in your area, you have learned that the plan you represent has a significantly lower monthly premium than the others. Furthermore, you see that the plan you represent has a unique benefits package. What should you do to make sur...

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Stuvia--ahip-final-exam-2022-practice-test-200-questions-and-answers-100-correct- questions and answers(2023) (verified answers)

Stuvia--ahip-final-exam-test-questions-and-answers--verified-answers questions and answers(2023) (verified answers)

Stuvia--ahip-final-exam-test-questions-and-answers--verified-answers questions and answers(2023) (verified answers)

Mr. Davies is turning 65 next month. He would like to enroll in a Medicare health plan, but does not want to be limited in terms of where he obtains his care. What should you tell him about how a Medicare Cost Plan might fit his needs? - ANSWERa. Cost plan enrollees can choose to receive Medicare covered services under the plan's benefits by going to plan network providers and paying plan cost sharing, or may receive services from non-network providers and pay cost-sharing due under Original Me...

Insurer vs Insured - ANSWER- insurer is a company that provides plan - insured are the people that buy into the plan Group health insurance - ANSWERHealth coverage provided by employers to members of a group. Group health insurance - types of coverage - ANSWERYou can choose among several or just one depending on your employer * dental, vision, medical benefits, managed care, fee-for-service insurance - dental: * basic/preventative services, restorative services, comprehensive or stand-...