- Study guides, Class notes & Summaries

FWA Practice Study Exam Questions & Answers. Under ACA Section 1557, a health plan sold through a state exchange may, based on an individual's age, - CORRECT ANSWER Limit benefits and services. Under ACA Section 1557, a health plan - CORRECT ANSWER Cannot deny coverage to LEP individuals and is required to provide language assistance to them, free of charge. ACA Section 1557 rules for disability concern - CORRECT ANSWER Policies and procedures, physical access, and communication. ...

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2 pages

Written in 2023/2024

Grade A+

Nursewendo

This document provides a fully solved and up-to-date collection of 60+ exam questions and answers covering Medicare Fraud, Waste, and Abuse (FWA), specifically designed for the 2025/2026 assessment cycle. It is a reliable and concise study resource for professionals, students, and compliance officers needing to understand legal and procedural requirements related to healthcare fraud and abuse. The content reviews key concepts and real-world scenarios on how fraud and abuse occur, how they are...

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2 pages

Written in 2025/2026

Grade A+

JOSHCLAY

Master the core principles of Fraud, Waste, and Abuse (FWA) Prevention with a comprehensive study guide developed for healthcare professionals, insurance agents, and compliance learners. Featuring exam-style questions, detailed answers, and practical compliance reviews, this resource helps reinforce essential regulations and prepares candidates for certification and annual training requirements. The guide explores the differences between fraud, waste, and abuse, reporting obligations, federal...

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46 pages

Written in 2025/2026

Grade A+

CertifiedSuccessHub

Fraud, Waste, and Abuse (FWA) Training: Complete Compliance Course, Examples, Prevention & Assessment Guide (2026)

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5 pages

Written in 2025/2026

Grade A+

BravelRadon

Ahip - Fraud, Waste And Abuse Questions With Verified Accurate Answers 2026

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2 pages

Written in 2025/2026

Grade A+

GEEKA

Ce Mastery Exam - Medicare Fwa Questions With Verified Accurate Answers 2026

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3 pages

Written in 2025/2026

Grade A+

GEEKA

Fraud Waste And Abuse Questions With Verified Accurate Answers 2026

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5 pages

Written in 2025/2026

Grade A+

GEEKA

Fraud, Waste, and Abuse Exam. 1. Compliance is the responsibility of the Compliance Officer, Compliance Committee, and Upper Manage- ment only. 2. Ways to report a compliance issue include: a. Telephone hotlines b. Report on the Sponsor's website c. In-person reporting to the compliance depart- ment/supervisor d. All of the above 3. What is the policy of non-retaliation? a. Allows the Sponsor to discipline employees who vi- olate the Code of Conduct False d. All of the abov...

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7 pages

Written in 2025/2026

Grade A+

ROSEGRADES

AHIP FWA Study/Test Prep Q’S & A’S. 1. .Best describes Section 1557 2. ACA Section 1557 rules disability 3. Under ACA Section 1557 health premium 4. As a result. vio- lations 5. Which Medicare programs are covered.... Which of the following statements best describes Section 1557 of the Attordable Care Act (ACA)? Answer: Section 1557 incorporates earlier civil rights protections in regard to race, color, national origin, disability, age and sex. ACA Section 1557 rules...

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3 pages

Written in 2025/2026

Grade A+

ROSEGRADES

AHIP 2025 Final Review FWA 3 Questions & Answers. 1. You are performing a regular inventory of the con- trolled substances in the pharmacy. You discover a minor inventory discrepancy. What should you do? Follow your pharmacy's proce- dures. 2. Your job is to submit a risk diagnosis to the Centers Report the incident to the com- for Medicare & Medicaid Services (CMS) for the pur- pliance department (via compli- pose of payment. As part of this ance hotline or other mecha- job, you...

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2 pages

Written in 2025/2026

Grade A+

ROSEGRADES

Fraud, Waste, Abuse – 2 Exam Questions Correctly Answered. 1. e 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 2. false Once a corrective action plan is started, the corrective actions must be monitored annually to ensure they are ettective. : True False

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3 pages

Written in 2025/2026

Grade A+

ROSEGRADES

Medicare Fraud, Waste, & Abuse Advanced Study Guide Test. 1. Your job is to submit a risk diagnosis to the Centers for Report the incident to Medicare & Medicaid Services (CMS) for the purpose of the compliance depart- payment. As part of this job, you use a process to verify ment (via compliance hot- 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? a. Do what ...

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6 pages

Written in 2025/2026

Grade A+

ROSEGRADES

AHIP General Compliance- Medicare - FWA – Fruad, Waste and Abuse Practice Review Test. 1. Compliance is the responsibility of the compliance officer, compliance committee and upper manage- ment only False 2. Ways to report a compliance issue include All of the above 3. What is the policy of non-retaliation Protects employees who, in good faith, report suspected non-compliance 4. These are examples of issues that can be reported to a compliance department :suspected fraud, waste...

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3 pages

Written in 2025/2026

Grade A+

ROSEGRADES

Fraud, Waste and Abuse Training Final Exam. 1. Center for Medicare and Medicaid Ser- vices (CMS) The Centers for Medicare & Medicaid Services, is a federal agency within the United States Department of Health and Human Services that administers the Medicare program and works in partnership with state governments to administer Med- icaid, the Children's Health Insurance Program, and health insurance portability standards. 2. Waste Incurring unnecessary costs as a result of deficient m...

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14 pages

Written in 2025/2026

Grade A+

ROSEGRADES

Medicare Fraud, Waste and Abuse Complete Study Guide Solution Test. 1. Which of the following requires intent to obtain pay- ment and the knowledge the actions are wrong? Question 1Select one: a.Abuse b.Fraud c.Waste Fraud 2. Your job is to submit a risk diagnosis to the Centers for D - Report the incident Medicare & Medicaid Services (CMS) for the purpose of to the compliance depart- payment. As part of this job, you use a process to verify ment (via compliance hot- the data is ac...

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5 pages

Written in 2025/2026

Grade A+

ROSEGRADES

Fraud Waste Abuse 3 Final Exam Questions with Actual Answers. 1. Ways to report potential fraud, waste, and abuse (FWA) All of the above include: 2. Bribes or kickbacks of any kind for services that are paid under a Federal health care program (which in- cludes Medicare) constitute fraud by the person mak- ing as well as the person receiving them. 3. Abuse involves payment for items or services when there is no legal entitlement to that payment and the provider has not knowingly or inte...

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2 pages

Written in 2025/2026

Grade A+

ROSEGRADES

Medicare Fraud and Abuse Practice Exam Questions Correctly Answered. 1. Bribes or kickbacks of any kind for services that are paid under a Federal healthcare program (which in- cludes Medicare) constitute fraud by the person mak- ing as well as the person receiving them. 2. Once a corrective action plan is started, the corrective actions must be monitored annually to ensure they are effective. True False 3. Any person who knowingly submits false claims to the False Government ...

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4 pages

Written in 2025/2026

Grade A+

ROSEGRADES

Fraud, Waste, Abuse - 2, Preventing Fraud, Abuse Study Guide Exam. 1. e 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 2. false Once a corrective action plan is started, the corrective actions must be monitored annually to ensure they are ettective. : True False 3. false Any person who knowingly submits false ...

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53 pages

Written in 2025/2026

Grade A+

ROSEGRADES

AHIP TRAINING Medicare Fraud, Waste, and Abuse Training Exam. 1. Medicare plan means A MA plan, MA-PD plan or PDP 2. Subcontractor means **An individual or entity that provides services on behalf of a Medicare plan sponsor. This includes individuals and organizations with DIRECT relationship with the plan sponsor or individuals or organizations with INDIRECT relationship, such as an agent who has a contract with an agency or filed marketing organization that contract with a Medicare plan. ...

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26 pages

Written in 2025/2026

Grade A+

ROSEGRADES

Fraud Waste and Abuse 2025 AHIP Exam. 1. ACA Section 1557 differs from earlier legislation in providing broader protection against discrimination based on sex. 2. Section 1557 of the Affordable Care Act applies to all health programs and ac- tivities administered by or re- ceiving federal financial assis- tance from HHS 3. Which Medicare programs are covered by ACA Sec- tion 1557? Parts A, C, and D, but not B. 4. Under ACA Section 1557, prohibited actions involve eligibi...

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11 pages

Written in 2025/2026

Grade A+

ROSEGRADES

Fraud Waste and Abuse Exam. 1. fraud intentional deception or misrepresentation to gain a benefit 2. abuse unintentional misrepresentation to obtain payment 3. waste overutilization of services that results in unnecessary costs to the healthcare system 4. types of waste fragmentation-failure to coordinate care-two ditterent clinicians order same testing overtreatment-orders unnecessary xray even if pt passess ottawa failure of care delivery-10 weeks of ankle 4 ways, pt doesnt get better adm...

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3 pages

Written in 2025/2026

Grade A+

ROSEGRADES