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2025 Medicare+ Fraud, Waste, and Abuse Exam Questions and Answers 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 the data is accurate. Your immediate supervisor tells you to ignore the Sponsor's process and to adjust or add risk diagnosis codes for certain individuals. What should you do? - --Answer --Report the incident to the compliance department (via compliance hotline or other mechanism) 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. Which of the following requires intent to obtain payment and the knowledge the actions are wrong? - --Answer --Fraud 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 ....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1