AHIP 2026 - Medicare Fraud, Waste, & Abuse Final Exam
1. Ways to report potential fraud, waste, and abuse Telephone hotlines
(FWA) include:
Mail drops
In-person reporting to
the compliance depart-
ment/supervisor
Reporting to a Special In-
vestigative Units (SIUs)
2. Waste includes any misuse of resources, such as the True
overuse of services or other practices that directly or
indirectly result in unnecessary costs to the Medicare
Program.
3. Abuse involves payment for items or services when True
there is no legal entitlement to that payment and the
provider has not knowingly or intentionally misrepre-
sented facts to obtain payment.
4. What are some of the penalties for violating fraud, Civil Monetary Penalties
waste, and abuse (FWA) laws?
Imprisonment
Exclusion from participation
in all Federal health care
programs
5. Bribes or kickbacks of any kind for services that are True
paid under a Federal health care program (which in-
cludes Medicare) constitute fraud by the person mak-
ing as well as the person receiving them.
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1. Ways to report potential fraud, waste, and abuse Telephone hotlines
(FWA) include:
Mail drops
In-person reporting to
the compliance depart-
ment/supervisor
Reporting to a Special In-
vestigative Units (SIUs)
2. Waste includes any misuse of resources, such as the True
overuse of services or other practices that directly or
indirectly result in unnecessary costs to the Medicare
Program.
3. Abuse involves payment for items or services when True
there is no legal entitlement to that payment and the
provider has not knowingly or intentionally misrepre-
sented facts to obtain payment.
4. What are some of the penalties for violating fraud, Civil Monetary Penalties
waste, and abuse (FWA) laws?
Imprisonment
Exclusion from participation
in all Federal health care
programs
5. Bribes or kickbacks of any kind for services that are True
paid under a Federal health care program (which in-
cludes Medicare) constitute fraud by the person mak-
ing as well as the person receiving them.
1/2
