Ahip business - Study guides, Class notes & Summaries

AHIP FIRST TEST ADVOCACY IN PUBLIC HEALTH POLICY AND LAWMrs. Roberts has Original Medicare and would like to enroll in a Private Fee-for-Service (PFFS) plan. All types of PFFS plans are available in her area. Which options could Mrs. Roberts consider before selecting a PFFS plan? Choose one answer. a. A Medicare Advantage Prescription Drug (MA-PD) PFFS plan that combinbenefits and Part D prescription drug coverage, a PFFS plan offering only mbenefits, or a PFFS plan in combination with a st...

Fraud, Waste, Abuse - 2, Fraud Waste and Abuse, Preventing Fraud, Abuse & Waste, Fraud, Abuse, and Waste, Fraud Waste and Abuse 2024 AHIP, fraud, waste, and abuse prevention| 100% Correct e - Answer ️️ -Ways to report potential Fraud, Waste, and Abuse (FWA) include: a. Telephone hotlines b. Mail Drops c. In-person reporting to the compliance department/supervisor d. Special Investigations Units (SIUs) e. All of the above false - Answer ️️ -Once a corrective action plan is star...

AHIP NONDISCRIMINATION TRAINING 2025 1. ACA Section 1557 differs from earlier legislation in providing broader protection against discrimination based on: - ️ Sex. 2. Section 1557 of the Affordable Care Act applies to: - ️ All health programs and activities administered by or receiving federal financial assistance from HHS. 3. Which Medicare programs are covered by ACA Section 1557? - ️ Parts A, C, and D, but not B. 4. Under ACA Section 1557, prohibited actions involve: ...

2024 AHIP Module 5 Questions and Answers 100% Pass | Verified and Updated Mrs. Margolis contacts you in August because she will become eligible for Medicare for the first time in November. She would like to meet and discuss plan choices with you. What advice should you give her? - Correct Answer ️️ -Tell her to wait until October to discuss plan choices with you so that you can share plan benefits for the current year as well as any changes for the following year that may impact her ch...

AHIP module 4 Questions and Answers Latest 2022/2023 Verified Answers. Mr. Prentice has many clients who are Medicare beneficiaries. He should review the Centers for Medicare & Medicaid Services' Marketing Guidelines to ensure he is compliant for which type of products? >>>c. Medicare Advantage (MA) and Prescription Drug (PDP) plans Correct Another agent working for your agency claims that because you are not employed by the Medicare Advantage plans that you represent, you are not subj...

AHIP Final Test Latest Updated 2024 Mr. Gomez notes that a Private Fee-for-Service (PFFS) plan available in his area has an attractive premium. He wants to know if he must use doctors in a network as his current HMO plan requires him to do. What should you tell him? - correct answersHe may receive health care services from ANY doctor allowed to bill Medicare, as long as he shows the doctor the plan's identification card and the doctor agrees to accept the PFFS plan's payment terms ...

AHIP module 4 Questions and Answers Latest 2022/2023 Verified Answers. Mr. Prentice has many clients who are Medicare beneficiaries. He should review the Centers for Medicare & Medicaid Services' Marketing Guidelines to ensure he is compliant for which type of products? >>>c. Medicare Advantage (MA) and Prescription Drug (PDP) plans Correct Another agent working for your agency claims that because you are not employed by the Medicare Advantage plans that you represent, you are not subj...

Wellcare Questions and Answers Already Passed When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). False Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. True Wellcare has streamlined standalone PDP offerings from six plans to a. two plans b. one plan c. three plans d. four plans in all 34 regions across all 50 states and D.C. c All Wellcar...

TESTBANK FOR AHIP Final Exam Test |AHIP 4| AHIP 5|Questions already graded A+ A client wants to give you an enrollment application on October 1 before the beginning of the Annual Election Period because he is leaving on vacation for two weeks and does not want to forget about turning it in. What should you tell him? Correct Answer You must tell him you are not permitted to take the form. If he sends the form directly to the plan, the plan will process the enrollment on the day the Annual El...

AHIP 2023 Module 5 Questions & Answers RATED A+ 2023|2024 UPDATE Mrs. Parker likes to handle most of her business matters through telephone calls. She currently is enrolled in Original Medicare Parts A and B but has heard about a Medicare Advantage plan offered by Senior Health from a neighbor. Mrs. Parker asks you whether she can enroll in Senior Health's MA plan over the telephone. What can tell her? I. Enrollment requests can only be made in face-to-face interviews or by mail. II. Tel...