2025 ahip - Study guides, Class notes & Summaries

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AHIP 2025 Final Exam Questions and Answers (2025 / 2026) (Verified Answers).1. PPO, HMO, MSA, Cost Plan, PFFS ANS Types of Medicare Advantage Plans 2. Serve both Medicare and Medicaid individuals. Include Part D coverage. Individuals sometimes referred to as dual eligibles ANS Medicare-Medicaid plans 3. Type of Medicare health plan. Have Part B to enroll. Can join anytime plan is accepting new members. A non network provider will can charge higher coin- surances and deuctibles. Different enr...

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AHIP CERTIFICATION 2025 FINAL EXAM QUESTIONS AND DETAILED ANSWERS| LATEST VERSIONS

2025 AHIP - Fraud, Waste, And Abuse Questions And Answers Latest Top Score. Which of the following requires intent to obtain payment and the knowledge the actions are wrong? - correct answer. Fraud 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 use a process to verify the data is accurate. Your immediate supervisor tells you to ignore the Sponsor's process and to adjust or ...

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