QUESTIONS WITH CORRECT
ANSWERS 2025/2026
YouAareAperformingAaAregularAinventoryAofAtheAcontrolledAsubstancesAinAtheApharmacy.AYouAdi
scoverAaAminorAinventoryAdiscrepancy.
WhatAshouldAyouAdo?A-AcorrectAanswersFollowAyourApharmacy'sAprocedures.
YourAjobAisAtoAsubmitAaAriskAdiagnosisAtoAtheACentersAforAMedicareA&AMedicaidAServicesA(CMS)
AforAtheApurposeAofApayment.AAsApartAofAthis
job,AyouAuseAaAprocessAtoAverifyAtheAdataAisAaccurate.AYourAimmediateAsupervisorAtellsAyouAtoAi
gnoreAtheASponsor'sAprocessAandAtoAadjustAor
addAriskAdiagnosisAcodesAforAcertainAindividuals.AWhatAshouldAyouAdo?A-
AcorrectAanswersReportAtheAincidentAtoAtheAcomplianceAdepartmentA(viaAcomplianceAhotlineA
orAotherAmechanism)
WhichAofAtheAfollowingAisANOTApotentiallyAaApenaltyAforAviolationAofAaAlawAorAregulationAprohi
bitingAfraud,Awaste,AandAabuseA(FWA)?A-AcorrectAanswersDeportation
YouAareAinAchargeAofApayingAclaimsAsubmittedAbyAproviders.AYouAnoticeAaAcertainAdiagnosticApr
oviderA("DoeADiagnostics")ArequestedAa
substantialApaymentAforAaAlargeApatientAgroup.AManyAofAtheseAclaimsAareAforAaAcertainAproced
ure.AYouAreviewAtheAsameAtypeAofAprocedure
forAotherAdiagnosticAprovidersAandArealizeADoeADiagnostics'AclaimsAfarAexceedAanyAotherAprovi
derAyouAreviewed.AWhatAshouldAyouAdo?A-
AcorrectAanswersConsultAwithAyourAimmediateAsupervisorAforAnextAstepsAorAcontactAtheAcompl
ianceAdepartmentA(viaAcomplianceAhotline,
SpecialAInvestigationsAUnitA[SIU],AorAotherAmechanism)
AApersonAdropsAoffAaAprescriptionAforAaAbeneficiaryAwhoAisAaA"regular"Acustomer.ATheAprescript
ionAisAforAaAcontrolledAsubstanceAwithAa
quantityAofA160.AThisAbeneficiaryAnormallyAreceivesAaAquantityAofA60,AnotA160.AYouAreviewAtheA
prescriptionAandAhaveAconcernsAabout
possibleAforgery.AWhatAisAyourAnextAstep?A-
AcorrectAanswersCallAtheAprescriberAtoAverifyAtheAquantity
WhichAofAtheAfollowingArequiresAintentAtoAobtainApaymentAandAtheAknowledgeAtheAactionsAare
Awrong?A-AcorrectAanswersFraud