HITT 1211 : Health Information Management > EXAM > AHIP FWA Questions and Answers with Certified Solutions (All)
AHIP FWA Questions and Answers with Certified Solutions
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Which of the following requires intent to obtain payment and the knowledge that the actions are wrong? ✔✔Fraud Which of the following is NOT potentially a penalty for violation of a law or reg... ulation prohibiting Fraud, Waste, and Abuse (FWA)? ✔✔Deportation A person comes to 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 possible forgery. What is your next step? ✔✔Call the prescriber to verify the quantity Your job is to submit a 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 Sponsor's process and to adjust/add risk diagnosis codes for certain individuals. What should you do? ✔✔Report the incident to the compliance department (via compliance hotline or other mechanism [Show More]
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