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AHFI Exam Study Guide | Accredited Health Care Fraud Investigator Questions and Answers 2026–2027

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Ace your AHFI Exam preparation with this Accredited Health Care Fraud Investigator study resource designed for professionals preparing for the NHCAA certification examination. The material supports review of major AHFI topics, including the U.S. healthcare system, health insurance business and operations, healthcare fraud, waste and abuse (FWA), fraud detection and prevention, investigative procedures, resolution and reporting processes, healthcare fraud laws, and regulatory considerations. Ideal for healthcare fraud investigators, insurance professionals, compliance specialists, and other qualified candidates, this AHFI study guide and questions-and-answers resource can help strengthen your understanding of key concepts and support effective preparation for the 2026–2027 certification exam. The NHCAA confirms that the AHFI examination focuses on the core responsibilities and tasks of healthcare fraud investigators.

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AHFI Exam
HS at bedtime


Q every (quaque)


QID every 4 hours




TID 3 times a day


BID twice daily (bis in die)


QD daily


QOD every other day (quaque altera die)


OD right eye (oculus dexter)


OS left eye (oculus sinister)


OU each eye


Sig give the following directions


PO Per Os (by mouth)




AC before meals


PC after meals


ASP average sales price


AWP average wholesale price


CPT 99201-99499 Evaluation and Management

, AHFI Exam
CPT 00100-01999 Anesthesia Services


CPT 10021-69990 Surgery


CPT 70010-79999 Radiology


CPT 80047-89356 Pathology and Laboratory




CPT 90281-99607 Medicine


CPT Category II Codes supplemental codes for performance measurements - published twice a year -
January/July


CPT Category III Codes These codes use four numerical digits followed by the letter T (1234T),
containing temporary codes used for data collection in FDA approval process
regarding new & emerging technology, services & procedures


Modifier 25 Significant Separately Identifiable E/M Service by the Same Physician on the
Same Day of the Procedure or Other Service


Modifier 22 increased procedural service; service provided greater than that usually
required for listed procedure


Modifier 59 Distinct procedure service indicates services that are usually bundled into one
payment were provided as separate
services


-XE modifier separate encounter: a service that is distinct because it occurred during a
separate encounter


-XS modifier Separate Structure - a service that is distinct because it was performed on a
separate organ/structure


-XP modifier Separate Practitioner: A service that is distinct because it was performed by a
different practitioner

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Uploaded on
August 13, 2026
Number of pages
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Written in
2026/2027
Type
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