2027 AHIP - Fraud, Waste, and Abuse Exam
Tested Questions with Correct Answers
(A+ Guarantee)
1. Which of the following requires intent to obtain payment and the knowledge the
actions are wrong?
Answer: Fraud
2. Your job is to submit a risk diagnosis to the Centers for Medicare & Medicaid Services
(CMS) for the purpose of payment. As part of this job, you use a process to verify the
data is accurate. Your immediate supervisor tells you to ignore the Sponsor's
process and to adjust or add risk diagnosis codes for certain individuals. What should you
do?
Answer: Report the incident to the compliance department (via compliance hotline or other mechanism)
3. Which of the following is NOT potentially a penalty for violation of a law or regulation
prohibiting fraud, waste, and abuse (FWA)?
Answer: Deportation
4. You are performing a regular inventory of the controlled substances in
Tested Questions with Correct Answers
(A+ Guarantee)
1. Which of the following requires intent to obtain payment and the knowledge the
actions are wrong?
Answer: Fraud
2. Your job is to submit a risk diagnosis to the Centers for Medicare & Medicaid Services
(CMS) for the purpose of payment. As part of this job, you use a process to verify the
data is accurate. Your immediate supervisor tells you to ignore the Sponsor's
process and to adjust or add risk diagnosis codes for certain individuals. What should you
do?
Answer: Report the incident to the compliance department (via compliance hotline or other mechanism)
3. Which of the following is NOT potentially a penalty for violation of a law or regulation
prohibiting fraud, waste, and abuse (FWA)?
Answer: Deportation
4. You are performing a regular inventory of the controlled substances in
