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READ Free Dumps For AHIP- AHM-510





Question ID 17162

The following statements are about various provisions of the Health Insurance Portability
and Accountability Act of 1996 (HIPAA). Three of the statements are true and one
statement is false. Select the answer choice that contains the FALSE statement.

Option A

HIPAA permits group health plans that offer coverage through an HMO to impose affiliation periods during which no benefits or services are provided to a plan member.

Option B

HIPAA created a new category of federal healthcare crimes, called federal healthcare offenses that apply to private healthcare plans as well as to federally funded healthcare programs.

Option C

One effect of Section 231(h) of HIPAA, which amended the Social Security Act, has been to permit health plans with Medicare contracts to provide enrollees with value-added services such as discounted memberships to health clubs.

Option D

HIPAA provides that any fines and penalties recovered through regulatory proceedings to enforce the federal fraud and abuse statutes will be turned over to enforcement agencies to conduct additional investigations.

Correct Answer C
Explanation


Question ID 17163

Regulators of health plans have set standards in a number of areas of plan operations.
Requirements with which health plans must comply typically include

Option A

providing enrollees and prospective enrollees with detailed information about various aspects of health plan policies and operations

Option B

 maintaining internal grievance and appeals processes to resolve enrollee complaints against the organization

Option C

maintaining quality assurance programs that reflect the plan's activities in monitoring quality

Option D

all of the above

Correct Answer D
Explanation

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