CIFHA Practice Questions - Certified Internal Forensic Healthcare Auditor (AIHC) Exam - CIFHA Practice Questions - Certified Internal Forensic Healthcare Auditor (AIHC) Exam

Question 1

Under the False Claims Act (31 U.S.C. § 3729), which of the following best defines the 'knowingly' standard?

Only actual knowledge that a claim is false Actual knowledge, deliberate ignorance, or reckless disregard of the truth or falsity of the information Negligence or failure to exercise reasonable care Intent to defraud the government plus actual knowledge

Correct Answer:

Actual knowledge, deliberate ignorance, or reckless disregard of the truth or falsity of the information

Question 2

In Universal Health Services v. United States ex rel. Escobar, the Supreme Court clarified that 'materiality' under the FCA means the misrepresentation must:

Be intentionally made by an officer of the entity Have a natural tendency to influence, or be capable of influencing, the payment decision Result in actual loss to the government Be expressly identified as a condition of payment in the contract

Correct Answer:

Have a natural tendency to influence, or be capable of influencing, the payment decision

Question 3

A whistleblower files a qui tam suit and the government intervenes and successfully prosecutes the case. Under 31 U.S.C. § 3730(d), what share of the recovery may the relator receive?

10% to 15% 15% to 25% 25% to 30% 30% to 40%

Correct Answer:

15% to 25%

Question 4

The federal Anti-Kickback Statute (42 U.S.C. § 1320a-7b(b)) is violated when remuneration is offered or paid:

Only when the sole purpose is to induce referrals of federal health-care program business If even one purpose of the remuneration is to induce referrals payable by a federal health-care program Only when the remuneration exceeds fair market value by more than 25% Only when the recipient is a licensed physician

Correct Answer:

If even one purpose of the remuneration is to induce referrals payable by a federal health-care program

Question 5

Which of the following is NOT one of the standard categories of conduct prohibited by the federal Anti-Kickback Statute?

Knowingly and willfully soliciting remuneration to induce referrals Knowingly and willfully offering remuneration to induce referrals Negligently overpaying for services with no intent to induce referrals Knowingly and willfully receiving remuneration in return for arranging items reimbursable by a federal program

Correct Answer:

Negligently overpaying for services with no intent to induce referrals

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About this Exam

Prepare with the CIFHA Practice Questions - Certified Internal Forensic Healthcare Auditor (AIHC) Exam practice quiz. This question bank includes 100 questions covering forensic, audit, auditor, services, and federal. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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CIFHA Practice Questions - Certified Internal Forensic Healthcare Auditor (AIHC) Exam

This practice set contains 100 questions from the matching question bank and focuses on forensic, audit, auditor, services, and federal. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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CIFHA Practice Questions - Certified Internal Forensic Healthcare Auditor (AIHC) Exam

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