READ Free Dumps For AHIP- AHM-510
Question ID 17162 | The following statements are about various provisions of the Health Insurance Portability |
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 |
Question ID 17163 | Regulators of health plans have set standards in a number of areas of plan operations. |
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 |