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FWA – Medicare Fraud, Waste & Abuse | 2025/2026 | 60+ Solved Exam Questions & Answers | Compliance, Penalties, Reporting

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    FWA – Medicare Fraud, Waste & Abuse | 2025/2026 | 60+ Solved Exam Questions & Answers | Compliance, Penalties, Reporting

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    2025/2026
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  • 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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Fraud, Waste, and Abuse Exam.

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    Fraud, Waste, and Abuse Exam.

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    August 2025
    2025/2026
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  • 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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AHIP FWA Study/Test Prep Q’S & A’S.

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    AHIP FWA Study/Test Prep Q’S & A’S.

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    August 2025
    2025/2026
    A+
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  • 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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AHIP 2025 Final Review FWA 3 Questions & Answers.

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    AHIP 2025 Final Review FWA 3 Questions & Answers.

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    August 2025
    2025/2026
    A+
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  • 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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Fraud, Waste, Abuse – 2 Exam Questions Correctly Answered.

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    Fraud, Waste, Abuse – 2 Exam Questions Correctly Answered.

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    August 2025
    2025/2026
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  • 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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Medicare Fraud, Waste, & Abuse Advanced Study Guide Test.

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    Medicare Fraud, Waste, & Abuse Advanced Study Guide Test.

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    August 2025
    2025/2026
    A+
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  • 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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AHIP General Compliance- Medicare - FWA – Fruad, Waste and Abuse Practice Review Test.

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    AHIP General Compliance- Medicare - FWA – Fruad, Waste and Abuse Practice Review Test.

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    August 2025
    2025/2026
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  • 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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Fraud, Waste and Abuse Training Final Exam.

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    Fraud, Waste and Abuse Training Final Exam.

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    August 2025
    2025/2026
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  • 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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Medicare Fraud, Waste and Abuse Complete Study Guide Solution Test.

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    Medicare Fraud, Waste and Abuse Complete Study Guide Solution Test.

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    August 2025
    2025/2026
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  • 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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Fraud Waste Abuse 3 Final Exam Questions with Actual Answers.

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    Fraud Waste Abuse 3 Final Exam Questions with Actual Answers.

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    August 2025
    2025/2026
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  • 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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