Fraud, Waste, Abuse – 1 (2022/2023) Graded A+

Fraud, Waste, Abuse – 1 (2022/2023) Graded A+ ACA Section 1557 differs from earlier legislation in providing broader protection against discrimination based on a. disability. b. national origin. c. age. d. sex. d Section 1557 of the Affordable Care Act applies to a. all health programs and activities administered by or receiving federal financial assistance from HHS. b. Medicare Advantage plans only. c. all health programs and activities, public and private. d. health plans sold through the ACA Marketplaces only. a Which Medicare programs are covered by ACA Section 1557? a. Part C (Medicare Advantage) only. b. Parts A, C, and D, but not B. c. Part D (prescription drug coverage) only. d. Parts A and B (Original Medicare) only. b Under ACA Section 1557, prohibited actions involve a. marketing only. b. claims only. c. eligibility, claims, and marketing. d. eligibility only. c Under ACA Section 1557, a person a. can be discriminated against if she is unable to speak English. b. can be discriminated against if she is an immigrant (legal or illegal). c. can be discriminated against if she is an illegal immigrant. d. cannot be discriminated against based on her legal or illegal immigration status or ability to speak English. d Under ACA Section 1557, a health plan a. can deny coverage to limited English proficient (LEP) individuals. b. cannot deny coverage to LEP individuals and is required to provide language assistance to them, free of charge. c. cannot deny coverage to LEP individuals and is required to provide language assistance to them, but at the individual's cost. d. cannot deny coverage to LEP individuals but is not required to provide language assistance to them. b Which of these actions is most likely to be permitted in dealing with a person with limited English proficiency? a. Allowing a child to interpret in an emergency. b. Requiring the individual to supply her own interpreter. c. Using an administrative staff member who once took classes in the individual's language to interpret. d. Allowing the individual to bring her own interpreter when there are confidentiality issues or the interpreter's competency is unclear. a Under ACA Section 1557, sex discrimination includes a person's a. sex only. b. sex or pregnancy. c. sex, pregnancy, or sex stereotypes. d. sex, pregnancy, sex stereotypes, or gender identity. d Under ACA Section 1557, a health plan sold through a state exchange may, based on an individual's age, a. exclude benefits and services. b. deny benefits and services. c. charge higher premiums. d. limit benefits and services. c ACA Section 1557 rules for disability concern a. Policies and procedures only. b. Policies and procedures, physical access, and communication. c. Communication only. d. Physical access and communication. b Which area of potential discrimination is not generally covered by ACA Section 1557? a. Payment of claims. b. Employment (with the exception of the provision of health insurance). c. Marketing practices. d. Eligibility for coverage. b As a result of violations of ACA Section 1557 nondiscrimination rules, a. health plans may be fined, but their agents and brokers are not affected. b. a health plan may revoke an agent or broker's appointment with the health plan. c. agents and brokers may be fined, but health plans are not affected. d. an agent or broker can have her state insurance license revoked by HHS. b For a health plan, what are the possible consequences of violations of ACA Section 1557? a. Loss of federal business only. b. None, although it may have to take corrective action. c. Compensatory damages only. d. Loss of federal business and compensatory damages d If a health plan violates ACA Section 1557 nondiscrimination protections, it may be a. required to take corrective action and sometimes pay damages. b. required to take corrective action and sometimes pay damages, but it is protected from lawsuits by individuals. c. required to take corrective action only. d. required to take corrective action and sometimes pay damages, and it may be sued by individuals. a