1
AHIP FRAUD WASTE AND ABUSE EXAM NEWEST
2025 ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+
e - (answer)Ways to report potential Fraud, Waste, and Abuse (FWA) include:
a. Telephone hotlines
b. Mail Drops
c. In-person reporting to the compliance department/supervisor
d. Special Investigations Units (SIUs)
e. All of the above
false - (answer)Once a corrective action plan is started, the corrective actions
must be monitored annually to ensure they are effective.
:
True False
false - (answer)Any person who knowingly submits false claims to the
Government is liable for five times the Government's damages caused by the
violator plus a penalty.
:
True False
, 2
true - (answer)These are examples of issues that should be reported to a
Compliance Department: suspected Fraud, Waste, and Abuse (FWA); potential
health privacy violation, and unethical behavior/employee misconduct.
:
True False
true - (answer)Bribes or kickbacks of any kind for services that are paid under a
Federal health care program (which includes Medicare) constitute fraud by the
person making as well as the person receiving them.
:
True False
true - (answer)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.
:
True False
ACA Section 1557 differs from earlier legislation in providing broader protection
against discrimination based on - (answer)sex
Section 1557 of the Affordable Care Act applies to - (answer)c. all health programs
and activities administered by or receiving federal financial assistance from HHS.
Correct
, 3
Which Medicare programs are covered by ACA Section 1557? - (answer)a. Parts A,
C, and D, but not B. Correct
Under ACA Section 1557, prohibited actions involve - (answer)d. eligibility, claims,
and marketing. Correct
Under ACA Section 1557, a person - (answer)c. cannot be discriminated against
based on her legal or illegal immigration status or ability to speak English. Correct
Under ACA Section 1557, a health plan - (answer)d. cannot deny coverage to LEP
individuals and is required to provide language assistance to them, free of charge.
Correct
Which of these actions is most likely to be permitted in dealing with a person with
limited English proficiency? - (answer)a. Allowing a child to interpret in an
emergency. Correct
Under ACA Section 1557, sex discrimination includes a person's - (answer)c. sex,
pregnancy, sex stereotypes, or gender identity. Correct
Under ACA Section 1557, a health plan sold through a state exchange may, based
on an individual's age, - (answer)d. charge higher premiums. Correct
AHIP FRAUD WASTE AND ABUSE EXAM NEWEST
2025 ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+
e - (answer)Ways to report potential Fraud, Waste, and Abuse (FWA) include:
a. Telephone hotlines
b. Mail Drops
c. In-person reporting to the compliance department/supervisor
d. Special Investigations Units (SIUs)
e. All of the above
false - (answer)Once a corrective action plan is started, the corrective actions
must be monitored annually to ensure they are effective.
:
True False
false - (answer)Any person who knowingly submits false claims to the
Government is liable for five times the Government's damages caused by the
violator plus a penalty.
:
True False
, 2
true - (answer)These are examples of issues that should be reported to a
Compliance Department: suspected Fraud, Waste, and Abuse (FWA); potential
health privacy violation, and unethical behavior/employee misconduct.
:
True False
true - (answer)Bribes or kickbacks of any kind for services that are paid under a
Federal health care program (which includes Medicare) constitute fraud by the
person making as well as the person receiving them.
:
True False
true - (answer)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.
:
True False
ACA Section 1557 differs from earlier legislation in providing broader protection
against discrimination based on - (answer)sex
Section 1557 of the Affordable Care Act applies to - (answer)c. all health programs
and activities administered by or receiving federal financial assistance from HHS.
Correct
, 3
Which Medicare programs are covered by ACA Section 1557? - (answer)a. Parts A,
C, and D, but not B. Correct
Under ACA Section 1557, prohibited actions involve - (answer)d. eligibility, claims,
and marketing. Correct
Under ACA Section 1557, a person - (answer)c. cannot be discriminated against
based on her legal or illegal immigration status or ability to speak English. Correct
Under ACA Section 1557, a health plan - (answer)d. cannot deny coverage to LEP
individuals and is required to provide language assistance to them, free of charge.
Correct
Which of these actions is most likely to be permitted in dealing with a person with
limited English proficiency? - (answer)a. Allowing a child to interpret in an
emergency. Correct
Under ACA Section 1557, sex discrimination includes a person's - (answer)c. sex,
pregnancy, sex stereotypes, or gender identity. Correct
Under ACA Section 1557, a health plan sold through a state exchange may, based
on an individual's age, - (answer)d. charge higher premiums. Correct
