What is AHIP?
AHIP is an industry-recognized certification test required by most carriers if agents want to sell Medicare Advantage (MA) and Prescription Drug Plans (PDP). Most carriers require you to take this test before taking their own additional specific certifications. This is an annual requirement and is of utmost importance.
What you’ll learn:
| Medicare |
Fraud, Waste, and Abuse (FWA) |
- The basics of Medicare fee-for-service eligibility and benefits
- Different types of Medicare Advantage and Part D prescription drug plans
- Eligibility and coverage
- Nondiscrimination training
- Marketing and enrollment under the Medicare Advantage and Part D program requirements
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- How to identify FWA
- An overview of the industry efforts in detecting fraud
- Legal tools to combat FWA
- Understand both the human and financial cost of FWA
- Review Medicare Parts C and D Fraud, Waste, and Abuse and General Compliance requirements
- Who commits FWA
- Reporting FWA; loopholes and obligations
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(From ahip.org)
• AHIP will be launching the new 2027 Medicare Certification on June 22, 2026
