AHIP FRAUD WASTE AND ABUSE EXAM NEWEST
2025\2026 ACTUAL EXAM COMPLETE QUESTIONS
AND 100% CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
Terms in this set (142)
Ways to report potential e. All of the above Correct
Fraud, Waste, and Abuse
(FWA) include:
Once a corrective action False
plan is started, the
corrective actions must be
monitored annually to
ensure they are effective.
Any person who False
knowingly submits false
claims to the Government
is liable for five times the
Government's damages
caused by the violator
plus a penalty.
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,3/27/25, 10:46 AM AHIP FRAUD WASTE AND ABUSE EXAM NEWEST 2025 ACTUAL EXAM COMPLETE QUESTIONS AND 100% CORRECT DE…
Waste includes any misuse True
of resources such as the
overuse of services, or
other practices that,
directly or indirectly, result
in unnecessary costs to
the Medicare Program.
These are examples of True
issues that should be
reported to a Compliance
Department: suspected
Fraud, Waste, and Abuse
(FWA); potential health
privacy violation, and
unethical
behavior/employee
misconduct.
Bribes or kickbacks of True Correct
any kind for services that
are paid under a Federal
health care program
(which includes
Medicare) constitute
fraud by the
person making as well as
the person receiving
them.
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, 3/27/25, 10:46 AM AHIP FRAUD WASTE AND ABUSE EXAM NEWEST 2025 ACTUAL EXAM COMPLETE QUESTIONS AND 100% CORRECT DE…
You can help prevent F
Fraud, Waste, and Abuse
(FWA) by doing all of the
following:
• Look for suspicious
activity;
• Conduct yourself in an
ethical manner;
• Ensure accurate and
timely data/billing;
• Ensure you coordinate
with other payers;
• Keep up to date with
FWA policies and
procedures, standards of
conduct, laws, regulations,
and the Centers for
Medicare & Medicaid
Services (CMS) guidance;
and
• Verify all information
provided to you.
What are some of the all of the above
penalties for violating
Fraud, Waste, and Abuse
(FWA) laws?
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