Ahip fwa stuvia - Study guides, Class notes & Summaries

Mrs. Turner is comparing her employer's retiree insurance to Original Medicare and would like to know which of the following services Original Medicare will cover if the appropriate criteria are met? What could you tell her? - ANSWERSOriginal Medicare covers ambulance services. Mr. Singh would like drug coverage but does not want to be enrolled in a Medicare Advantage plan. What should you tell him? - ANSWERSMr. Singh can enroll in a stand-alone prescription drug plan and continue to be cove...

As a result of violations of ACA Section 1557 nondiscrimination rules, - ANSWERSa health plan may revoke an agent or broker's appointment with the health plan. Which of the following statements best describes Section 1557 of the Affordable Care Act (ACA)? - ANSWERSSection 1557 incorporates earlier civil rights protections in regard to race, color, national origin, disability, age and sex. Under ACA Section 1557, a health plan premium sold through a state exchange may, based on an individu...

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...

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...