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

intent and knowledge {Ans: Which of the following requires intent to obtain payment and the knowledge the actions are wrong? Answer: Fraud}regular inventory control {Ans: You are performing a regular inventory of the controlled substances in the pharmacy. You discover a minor inventory discrepancy. What should you do? Answer: Follow your pharmacy's procedures. ???}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.}"Doe Diagnostics" {Ans: You are in charge of paying claims submitted by providers. You notice a certain diagnostic provider ("Doe Diagnostics") requested a substantial payment for a large patient group. Many of these claims are for a certain procedure. You review the same type of procedure for other diagnostic providers and realize Doe Diagnostics' claims far exceed any other provider you reviewed. What should you do? Answer: Consult with your immediate supervisor for next steps or contact the compliance department (via compliance hotline, Special Investigations Unit [SIU], or other mechanism)}NOT {Ans: Which of the following is NOT potentially a penalty for violation of a law or regulation prohibiting fraud, waste, and abuse (FWA)?