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

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 identified, and what penalties may apply under federal law. Topics include: Definitions of Medicare fraud, waste, and abuse Examples of intentional misconduct and billing fraud Federal regulations (e.g., False Claims Act, Anti-Kickback Statute) Reporting protocols (OIG, CMS, Self-Referral Disclosure Protocol - SRDP) Preventive measures and compliance strategies The roles of MACs, CERT contractors, and Recovery Audit Programs Penalties, whistleblower protection, and anonymous reporting Documentation standards and ethical responsibilities for healthcare providers This document is especially relevant for: Medical and healthcare administration students Nursing and allied health professionals Compliance officers, risk managers, and billing/coding staff Employees of hospitals, clinics, insurance companies, and government health programs Professionals preparing for CMS-mandated FWA training or certification Whether you're preparing for certification, onboarding into a healthcare role, or leading compliance efforts, this guide ensures you're equipped with essential knowledge to recognize and prevent Medicare fraud and abuse. Keywords: FWA, Medicare fraud, waste, abuse, CMS, healthcare compliance, OIG, fraud reporting, medical ethics, billing standards, SRDP, MACs, audit programs, whistleblower, federal penalties, anti-kickback statute