AHFI
AHFI Exam with Complete Questions and Verified
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solutions () LATEST UPDATE | STUDY
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This Exam Contains:
❖AHFI Exam
❖Complete Questions and Verified Correct Answers
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❖STUDY GUIDE EXAM
,AHFI Exam with Complete Questions and Verified Correct Answers | 100% Guaranteed Pass &
Verified solutions () LATEST UPDATE | STUDY GUIDE EXAM
1. Anti-Kickback Statute (42 US SS 1320a-7b (b) prohibitions -
Correct Answer✓✓ Prohibits offering, paying, soliciting or reviving
anything of value to induce or reward referrals or generate Federal
health care program business
2. Anti-Kickback Statute (42 US SS 1320a-7b (b) referrals - Correct
Answer✓✓ Referrals from anyone
3. Anti-Kickback Statute (42 US SS 1320a-7b (b) - Correct Answer✓✓
Any items or services
4. Anti-Kickback Statute (42 US SS 1320a-7b (b) (Intent) - Correct
Answer✓✓ Intent MUST be proven (knowing and willful)
5. Anti-Kickback Statute (42 US SS 1320a-7b (b) Criminal penalties -
Correct Answer✓✓ Fines up to $25,000/violation
Up to a 5-yr prison term/violation
6. Anti-Kickback Statute (42 US SS 1320a-7b (b) (Civil/administrative)
- Correct Answer✓✓ False Claims act liability
Civil monetary penalties and program exclusions
Potential $50,000 CMP/violation
1 | 31
, Civil assessment of up to 3x amount of kickback
7. Anti-Kickback Statute (42 US SS 1320a-7b (b) Exceptions - Correct
Answer✓✓ Voluntary safe harbors
8. Anti-Kickback Statute (42 US SS 1320a-7b (b) - what it applies to... -
Correct Answer✓✓ All Federal Health Care Programs
9. The Stark Law (42 US SS 139nn) Prohibition - Correct Answer✓✓
Prohibits a physician from referring Medicare patients for designated
health services to an entity with which the physician (or immediate
family member) has a financial relationship, unless an exception
applies)
Prohibits the designated health services entity from submitting claims
to Medicare for those services resulting from a prohibited referral
10. The Stark Law (42 US SS 139nn) Referrals - Correct Answer✓✓
Referrals from a physician
11. The Stark Law (42 US SS 139nn) (Items/Services) - Correct
Answer✓✓ Designated health services
12. The Stark Law (42 US SS 139nn) (Intent) - Correct Answer✓✓
No intent standard for overpayment (strict liability)
Intent required for civil monetary penalties for knowing violations
13. The Stark Law (42 US SS 139nn) (Civil Penalties) only - Correct
Answer✓✓ Overpayment/refund obligation
2 | 31
, False Claims Act liability
Civil monetary penalties and program exclusion for knowing
violations
Potential $15,000 CMP for each service
Civil assessment of up to 3x the amount claimed.
14. The Stark Law (42 US SS 139nn) (Exceptions) - Correct
Answer✓✓ Mandatory exceptions
15. The Stark Law (42 US SS 139nn) applies to - Correct Answer✓✓
Medicare and Medicaid
(No commercial or tricare)
16. MACs: - Correct Answer✓✓ Medicare Administrative
Contractors
They analyze claims to determine provider compliance with Medicare
coverage, coding, and billing rules and take appropriate corrective
action when providers are found to be non-compliant.
17. The goal of Mac administrative actions - Correct Answer✓✓ To
correct the behavior in need of change and prevent future
3 | 31
AHFI Exam with Complete Questions and Verified
Correct Answers | 100% Guaranteed Pass & Verified
solutions () LATEST UPDATE | STUDY
GUIDE EXAM
This Exam Contains:
❖AHFI Exam
❖Complete Questions and Verified Correct Answers
❖100% Guaranteed Pass & Verified solutions
❖() LATEST UPDATE
❖STUDY GUIDE EXAM
,AHFI Exam with Complete Questions and Verified Correct Answers | 100% Guaranteed Pass &
Verified solutions () LATEST UPDATE | STUDY GUIDE EXAM
1. Anti-Kickback Statute (42 US SS 1320a-7b (b) prohibitions -
Correct Answer✓✓ Prohibits offering, paying, soliciting or reviving
anything of value to induce or reward referrals or generate Federal
health care program business
2. Anti-Kickback Statute (42 US SS 1320a-7b (b) referrals - Correct
Answer✓✓ Referrals from anyone
3. Anti-Kickback Statute (42 US SS 1320a-7b (b) - Correct Answer✓✓
Any items or services
4. Anti-Kickback Statute (42 US SS 1320a-7b (b) (Intent) - Correct
Answer✓✓ Intent MUST be proven (knowing and willful)
5. Anti-Kickback Statute (42 US SS 1320a-7b (b) Criminal penalties -
Correct Answer✓✓ Fines up to $25,000/violation
Up to a 5-yr prison term/violation
6. Anti-Kickback Statute (42 US SS 1320a-7b (b) (Civil/administrative)
- Correct Answer✓✓ False Claims act liability
Civil monetary penalties and program exclusions
Potential $50,000 CMP/violation
1 | 31
, Civil assessment of up to 3x amount of kickback
7. Anti-Kickback Statute (42 US SS 1320a-7b (b) Exceptions - Correct
Answer✓✓ Voluntary safe harbors
8. Anti-Kickback Statute (42 US SS 1320a-7b (b) - what it applies to... -
Correct Answer✓✓ All Federal Health Care Programs
9. The Stark Law (42 US SS 139nn) Prohibition - Correct Answer✓✓
Prohibits a physician from referring Medicare patients for designated
health services to an entity with which the physician (or immediate
family member) has a financial relationship, unless an exception
applies)
Prohibits the designated health services entity from submitting claims
to Medicare for those services resulting from a prohibited referral
10. The Stark Law (42 US SS 139nn) Referrals - Correct Answer✓✓
Referrals from a physician
11. The Stark Law (42 US SS 139nn) (Items/Services) - Correct
Answer✓✓ Designated health services
12. The Stark Law (42 US SS 139nn) (Intent) - Correct Answer✓✓
No intent standard for overpayment (strict liability)
Intent required for civil monetary penalties for knowing violations
13. The Stark Law (42 US SS 139nn) (Civil Penalties) only - Correct
Answer✓✓ Overpayment/refund obligation
2 | 31
, False Claims Act liability
Civil monetary penalties and program exclusion for knowing
violations
Potential $15,000 CMP for each service
Civil assessment of up to 3x the amount claimed.
14. The Stark Law (42 US SS 139nn) (Exceptions) - Correct
Answer✓✓ Mandatory exceptions
15. The Stark Law (42 US SS 139nn) applies to - Correct Answer✓✓
Medicare and Medicaid
(No commercial or tricare)
16. MACs: - Correct Answer✓✓ Medicare Administrative
Contractors
They analyze claims to determine provider compliance with Medicare
coverage, coding, and billing rules and take appropriate corrective
action when providers are found to be non-compliant.
17. The goal of Mac administrative actions - Correct Answer✓✓ To
correct the behavior in need of change and prevent future
3 | 31
