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ALL RIGHTS RESERVED.
Ahip fraud waste & abuse Exam Questions
And Answers
Which of the following requires intent to obtain payment and the knowledge that the actions
are wrong? - Answers✔Fraud
Which of the following is not potentially a penalty for violation of the law or regulation
prohibiting fraud, waste and abuse (fwa)? - Answers✔Deportation
A person comes into your pharmacy to drop off a prescription for a beneficiary who is a regular
customer. The prescription is for a controlled substance with a quantity of 160. This beneficiary
normally receives a quantity of 60, not 160. You review the prescription and have concerns
about the possible forgery. What is your next step? - Answers✔Call the prescriber to verify the
quantity
Your job is to submit risk diagnosis to the centers for Medicare & medicaid services (cms) for
the purpose of payment. As part of this job you verify, through a certain process, that the data
is accurate. Your immediate supervisor tells you to ignore the sponsors process and to
adjust/add risk diagnosis codes for certain individuals. What should you do? - Answers✔Report
the incident to the compliance department (via compliance hotline or other mechanism)
1|Page
ALL RIGHTS RESERVED.
Ahip fraud waste & abuse Exam Questions
And Answers
Which of the following requires intent to obtain payment and the knowledge that the actions
are wrong? - Answers✔Fraud
Which of the following is not potentially a penalty for violation of the law or regulation
prohibiting fraud, waste and abuse (fwa)? - Answers✔Deportation
A person comes into your pharmacy to drop off a prescription for a beneficiary who is a regular
customer. The prescription is for a controlled substance with a quantity of 160. This beneficiary
normally receives a quantity of 60, not 160. You review the prescription and have concerns
about the possible forgery. What is your next step? - Answers✔Call the prescriber to verify the
quantity
Your job is to submit risk diagnosis to the centers for Medicare & medicaid services (cms) for
the purpose of payment. As part of this job you verify, through a certain process, that the data
is accurate. Your immediate supervisor tells you to ignore the sponsors process and to
adjust/add risk diagnosis codes for certain individuals. What should you do? - Answers✔Report
the incident to the compliance department (via compliance hotline or other mechanism)
1|Page
