Fraud Waste and Abuse (FWA) Training
Questions and Answers 100% Pass
How to recognize FWA in the Medicare Program ✔✔Knowledge of the law including the Civil
False claims Act, Health Care Fraud Statute, and Criminal Fraud, Anti-Kickback Statute, Stark
Statute, Exclusion from all Federal healthcare programs, and the Health Insurance Portability and
Accountability Act.
Civil False Claims Act ✔✔Makes a person liable to pay damages to the government if
1. He or she knowingly conspires to commit FWA.
2. Carries out other acts to obtain property from the government by misrepresentation.
3. Conceals or improperly avoids or decreases an obligation to pay the government.
4. Makes or uses a false record or statement supporting a false claim.
5. Presents a false claim for payment or approval.
Health Care Fraud statute ✔✔"Whoever knowingly and willfully executes, or attempts to
execute, a scheme or artifice of defraud any healthcare benefit program...shall be fined under this
title or imprisoned not more than 10 years, or both."
Questions and Answers 100% Pass
How to recognize FWA in the Medicare Program ✔✔Knowledge of the law including the Civil
False claims Act, Health Care Fraud Statute, and Criminal Fraud, Anti-Kickback Statute, Stark
Statute, Exclusion from all Federal healthcare programs, and the Health Insurance Portability and
Accountability Act.
Civil False Claims Act ✔✔Makes a person liable to pay damages to the government if
1. He or she knowingly conspires to commit FWA.
2. Carries out other acts to obtain property from the government by misrepresentation.
3. Conceals or improperly avoids or decreases an obligation to pay the government.
4. Makes or uses a false record or statement supporting a false claim.
5. Presents a false claim for payment or approval.
Health Care Fraud statute ✔✔"Whoever knowingly and willfully executes, or attempts to
execute, a scheme or artifice of defraud any healthcare benefit program...shall be fined under this
title or imprisoned not more than 10 years, or both."
