AHIP Medicare Fraud, Waste, & Abuse
Final NEWEST 2025-2026 VERSION
EXAM With Comprehensive Questions
and Well Elaborated Correct Answers
GRADED A+
Ways to report potential fraud, waste, and abuse (FWA) include: - correct ans:Telephone hotlines
Mail drops
In-person reporting to the compliance department/supervisor
Reporting to a Special Investigative Units (SIUs)
Waste includes any misuse of resources, such as the overuse of services or other practices that directly
or indirectly result in unnecessary costs to the Medicare Program. - correct ans:True
Abuse involves payment for items or services when there is no legal entitlement to that payment and
the provider has not knowingly or intentionally misrepresented facts to obtain payment. - correct
ans:True
What are some of the penalties for violating fraud, waste, and abuse (FWA) laws? - correct ans:Civil
Monetary Penalties
Imprisonment
Final NEWEST 2025-2026 VERSION
EXAM With Comprehensive Questions
and Well Elaborated Correct Answers
GRADED A+
Ways to report potential fraud, waste, and abuse (FWA) include: - correct ans:Telephone hotlines
Mail drops
In-person reporting to the compliance department/supervisor
Reporting to a Special Investigative Units (SIUs)
Waste includes any misuse of resources, such as the overuse of services or other practices that directly
or indirectly result in unnecessary costs to the Medicare Program. - correct ans:True
Abuse involves payment for items or services when there is no legal entitlement to that payment and
the provider has not knowingly or intentionally misrepresented facts to obtain payment. - correct
ans:True
What are some of the penalties for violating fraud, waste, and abuse (FWA) laws? - correct ans:Civil
Monetary Penalties
Imprisonment