Fraud waste abuse - Study guides, Class notes & Summaries
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AEtna Sample Exam Questions with Answers Latest Grade A+ 2023/2024
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AEtna Sample Exam Questions with Answers Latest Grade A+ 2023/2024. Broker Services - Reports 
What report(s) are available on Aetna Producer World? 
a. Your Medicare book of business 
b. Monthly Commission Report (Two years of monthly data is available) 
c. License reports 
d. A and B 
e. All of the above - correct answer E. all of the above 
Ready To Sell - Agent RTS Requirements 
You will need to successfully complete which requirements to be Ready to Sell (RTS) 
with Aetna Medicare? 
a. Pass...
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AHIP fraud waste & abuse questions and answers already passed
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AHIP fraud waste & abuse questions and answers already passed 
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 the law or regulation prohibiting fraud, waste and abuse (fwa)? 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...
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HCCA - CHC Study Questions and Answers (Graded A)
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True or False: 
The ACA requires that all providers adopt a compliance plan as a condition of enrollment with Medicare, Medicaid, and Children's Health Insurance Program (CHIP). - Answer- True 
 
ref. ACA section 6102 
 
According to HHS-OIG - what are three important reasons for proper documentation in Compliance? (hint: protections) - Answer- 1.Protect our programs 
2.Protect your patients 
3.Protect the Provider 
 

 
At which level of the Medicare Part A or Part B appeals process is the app...
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Fraud, Waste, Abuse 2, Fraud Waste and Abuse, Preventing Fraud, Abuse & Waste, Fraud, Abuse, and Waste, Fraud Waste and Abuse 2024 AHIP, fraud, waste, and abuse prevention For 2024
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Fraud, Waste, Abuse 2, Fraud Waste and Abuse, Preventing Fraud, Abuse & Waste, Fraud, Abuse, and Waste, Fraud Waste and Abuse 2024 AHIP, fraud, waste, and abuse prevention For 2024
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Bundle for Fraud Waste and Abuse Exams Compilation | Verified | Guaranteed Success
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Bundle for Fraud Waste and Abuse Exams Compilation | Verified | Guaranteed Success
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Ahip fraud waste & abuse TEST 2023
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Ahip fraud waste & abuse TEST 2023
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Fraud, Waste, Abuse – 2 questions with correct answers
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e CORRECT ANSWER Ways to report potential Fraud, Waste, and Abuse (FWA) include: 
 
 
 a. Telephone hotlines 
 b. Mail Drops 
 c. In-person reporting to the compliance department/supervisor 
 d. Special Investigations Units (SIUs) 
 e. All of the above 
 
false CORRECT ANSWER Once a corrective action plan is started, the corrective actions must be monitored annually to ensure they are effective. 
: 
True False 
 
false CORRECT ANSWER Any person who knowingly submits false claims to the Gover...
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AHIP TRAINING Medicare Fraud, Waste, and Abuse Training Practice Questions and Answers 100% Pass
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AHIP TRAINING Medicare Fraud, Waste, and 
Abuse Training Practice Questions and 
Answers 100% Pass 
Medicare plan means - Correct Answer ️️ -A MA plan, MA-PD plan or PDP 
Subcontractor means - Correct Answer ️️ -**An individual or entity that provides 
services on behalf of a Medicare plan sponsor. This includes individuals and 
organizations with DIRECT relationship with the plan sponsor or individuals or 
organizations with INDIRECT relationship, such as an agent who has a contract wit...
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Fraud, Waste, Abuse - 2, Fraud Waste and Abuse, Preventing Fraud, Abuse & Waste, Fraud, Abuse, and Waste, Fraud Waste and Abuse 2024 AHIP, fraud, waste, and abuse prevention| 100% Correct
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Fraud, Waste, Abuse - 2, Fraud Waste and Abuse, 
Preventing Fraud, Abuse & Waste, Fraud, Abuse, 
and Waste, Fraud Waste and Abuse 2024 AHIP, 
fraud, waste, and abuse prevention| 100% 
Correct 
e - Answer ️️ -Ways to report potential Fraud, Waste, and Abuse (FWA) include: 
a. Telephone hotlines 
b. Mail Drops 
c. In-person reporting to the compliance department/supervisor 
d. Special Investigations Units (SIUs) 
e. All of the above 
false - Answer ️️ -Once a corrective action plan is star...
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AHIP Module 1,2,3,4,5 Plus NONDISCRIMINATION TRAINING,FRAUD, WASTE, AND ABUSE and COMPLIANCE- Test Questions and Answers (100% Verified)
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AHIP Module 1,2,3,4,5 Plus NONDISCRIMINATION TRAINING,FRAUD, WASTE, AND ABUSE and COMPLIANCE- Test Questions and Answers (100% Verified) 
Mr. Buck has several family members who died from different 
cancers. He wants to know if Medicare covers cancer screening. 
What should you tell him? 
Mrs. Duarte is enrolled in Original Medicare Parts A and B. She 
has recently reviewed her Medicare Summary Notice (MSN) and 
disagrees with a determination that partially denied one of her 
claims for service...
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