3/26/25, 3:23 PM AHIP FRAUD WASTE AND ABUSE EXAM NEWEST 2025 ACTUAL EXAM COMPLETE QUESTIONS AND 100% CORRECT DET…
AHIP FRAUD WASTE AND ABUSE EXAM NEWEST
2025 ACTUAL EXAM COMPLETE QUESTIONS
AND 100% CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
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Save
Terms in this set (142)
Ways to report potential Fraud, Waste, and Abuse
(FWA) include:
a. Telephone hotlines
e
b. Mail Drops
c. In-person reporting to the compliance
department/supervisor
d. Special Investigations Units (SIUs)
e. All of the above
Once a corrective action plan is started, the
corrective actions must be monitored annually to
false ensure they are effective.
:
True False
Any person who knowingly submits false claims to the
Government is liable for five times the Government's
false damages caused by the violator plus a penalty.
:
True False
https://quizlet.com/1023211213/ahip-fraud-waste-and-abuse-exam-newest-2025-actual-exam-complete-questions-and-100-correct-detailed-answers-… 1/21
,3/26/25, 3:23 PM AHIP FRAUD WASTE AND ABUSE EXAM NEWEST 2025 ACTUAL EXAM COMPLETE QUESTIONS AND 100% CORRECT DET…
These are examples of issues that should be reported
to a Compliance Department: suspected Fraud,
Waste, and Abuse (FWA); potential health privacy
true violation, and unethical behavior/employee
misconduct.
:
True False
Bribes or kickbacks of any kind for services that are
paid under a Federal health care program (which
includes Medicare) constitute fraud by the person
true
making as well as the person receiving them.
:
True False
Waste includes any misuse of resources such as the
overuse of services, or other practices that, directly or
indirectly, result in unnecessary costs to the Medicare
true
Program.
:
True False
ACA Section 1557 differs sex
from earlier legislation in
providing broader
protection against
discrimination based on
Section 1557 of the c. all health programs and activities administered by
Affordable Care Act or receiving federal financial assistance from HHS.
applies to Correct
Which Medicare programs a. Parts A, C, and D, but not B. Correct
are covered by ACA
Section 1557?
Under ACA Section 1557, d. eligibility, claims, and marketing. Correct
prohibited actions involve
https://quizlet.com/1023211213/ahip-fraud-waste-and-abuse-exam-newest-2025-actual-exam-complete-questions-and-100-correct-detailed-answers-… 2/21
, 3/26/25, 3:23 PM AHIP FRAUD WASTE AND ABUSE EXAM NEWEST 2025 ACTUAL EXAM COMPLETE QUESTIONS AND 100% CORRECT DET…
c. cannot be discriminated against based on her legal
Under ACA Section 1557, a
or illegal immigration status or ability to speak English.
person
Correct
d. cannot deny coverage to LEP individuals and is
Under ACA Section 1557, a
required to provide language assistance to them, free
health plan
of charge. Correct
Which of these actions is a. Allowing a child to interpret in an emergency.
most likely to be Correct
permitted in dealing with a
person with limited
English proficiency?
Under ACA Section 1557, c. sex, pregnancy, sex stereotypes, or gender identity.
sex discrimination includes Correct
a person's
Under ACA Section 1557, a d. charge higher premiums. Correct
health plan sold through a
state exchange may,
based on an individual's
age,
ACA Section 1557 rules for d. Policies and procedures, physical access, and
disability concern communication. Correct
Which area of potential c. Employment (with the exception of the provision of
discrimination is not health insurance). Correct
generally covered by ACA
Section 1557?
As a result of violations of c. a health plan may revoke an agent or broker's
ACA Section 1557 appointment with the health plan. Correct
nondiscrimination rules,
For a health plan, what are b. Loss of federal business and compensatory
the possible damages. Correct
consequences of
violations of ACA Section
1557?
https://quizlet.com/1023211213/ahip-fraud-waste-and-abuse-exam-newest-2025-actual-exam-complete-questions-and-100-correct-detailed-answers-… 3/21
AHIP FRAUD WASTE AND ABUSE EXAM NEWEST
2025 ACTUAL EXAM COMPLETE QUESTIONS
AND 100% CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
Say thanks
Save
Terms in this set (142)
Ways to report potential Fraud, Waste, and Abuse
(FWA) include:
a. Telephone hotlines
e
b. Mail Drops
c. In-person reporting to the compliance
department/supervisor
d. Special Investigations Units (SIUs)
e. All of the above
Once a corrective action plan is started, the
corrective actions must be monitored annually to
false ensure they are effective.
:
True False
Any person who knowingly submits false claims to the
Government is liable for five times the Government's
false damages caused by the violator plus a penalty.
:
True False
https://quizlet.com/1023211213/ahip-fraud-waste-and-abuse-exam-newest-2025-actual-exam-complete-questions-and-100-correct-detailed-answers-… 1/21
,3/26/25, 3:23 PM AHIP FRAUD WASTE AND ABUSE EXAM NEWEST 2025 ACTUAL EXAM COMPLETE QUESTIONS AND 100% CORRECT DET…
These are examples of issues that should be reported
to a Compliance Department: suspected Fraud,
Waste, and Abuse (FWA); potential health privacy
true violation, and unethical behavior/employee
misconduct.
:
True False
Bribes or kickbacks of any kind for services that are
paid under a Federal health care program (which
includes Medicare) constitute fraud by the person
true
making as well as the person receiving them.
:
True False
Waste includes any misuse of resources such as the
overuse of services, or other practices that, directly or
indirectly, result in unnecessary costs to the Medicare
true
Program.
:
True False
ACA Section 1557 differs sex
from earlier legislation in
providing broader
protection against
discrimination based on
Section 1557 of the c. all health programs and activities administered by
Affordable Care Act or receiving federal financial assistance from HHS.
applies to Correct
Which Medicare programs a. Parts A, C, and D, but not B. Correct
are covered by ACA
Section 1557?
Under ACA Section 1557, d. eligibility, claims, and marketing. Correct
prohibited actions involve
https://quizlet.com/1023211213/ahip-fraud-waste-and-abuse-exam-newest-2025-actual-exam-complete-questions-and-100-correct-detailed-answers-… 2/21
, 3/26/25, 3:23 PM AHIP FRAUD WASTE AND ABUSE EXAM NEWEST 2025 ACTUAL EXAM COMPLETE QUESTIONS AND 100% CORRECT DET…
c. cannot be discriminated against based on her legal
Under ACA Section 1557, a
or illegal immigration status or ability to speak English.
person
Correct
d. cannot deny coverage to LEP individuals and is
Under ACA Section 1557, a
required to provide language assistance to them, free
health plan
of charge. Correct
Which of these actions is a. Allowing a child to interpret in an emergency.
most likely to be Correct
permitted in dealing with a
person with limited
English proficiency?
Under ACA Section 1557, c. sex, pregnancy, sex stereotypes, or gender identity.
sex discrimination includes Correct
a person's
Under ACA Section 1557, a d. charge higher premiums. Correct
health plan sold through a
state exchange may,
based on an individual's
age,
ACA Section 1557 rules for d. Policies and procedures, physical access, and
disability concern communication. Correct
Which area of potential c. Employment (with the exception of the provision of
discrimination is not health insurance). Correct
generally covered by ACA
Section 1557?
As a result of violations of c. a health plan may revoke an agent or broker's
ACA Section 1557 appointment with the health plan. Correct
nondiscrimination rules,
For a health plan, what are b. Loss of federal business and compensatory
the possible damages. Correct
consequences of
violations of ACA Section
1557?
https://quizlet.com/1023211213/ahip-fraud-waste-and-abuse-exam-newest-2025-actual-exam-complete-questions-and-100-correct-detailed-answers-… 3/21
