Ahip Fwa Study/test Prep 11 Correctly Answered Questions Latest Update

NOT {Ans: Which of the following is NOT potentially a penalty for violation of a law or regulation prohibiting fraud, waste, and abuse (FWA)? Answer: Deportation}Under ACA Section 1557....health premium {Ans: Under ACA Section 1557, a health plan premium sold through a state exchange may, based on an individual's age and Answer: charge higher premiums.}intent and knowledge {Ans: Which of the following requires intent to obtain payment and the knowledge the actions are wrong? Answer: Fraud}controlled substance {Ans: A person drops 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? Answer: Call the prescriber to verify the quantity ???}ACA Section 1557 rules....disability {Ans: ACA Section 1557 rules for disability concern Answer: policies and procedures, physical access, and communication.}submit a risk report {Ans: 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 use a process to verify