Ace the 2026 AHIP FWA Challenge – Beat Fraud, Waste, and Abuse with Flair!

The Social Security Act is a foundational piece of legislation that established the Medicare program and lays the groundwork for various federal health care policies, but it does not specifically serve as a law governing fraud, waste, and abuse (FWA) in the same way that the other options do.

The Anti-Kickback Statute criminalizes the practice of offering, paying, soliciting, or receiving kickbacks in relation to Medicare and Medicaid services, thereby directly addressing FWA concerns. The Health Care Fraud Statute provides federal authority to prosecute individuals and entities engaged in fraudulent activities related to healthcare benefits, including Medicare. HIPAA, while primarily focused on protecting patient information, also contains provisions that address fraud and abuse by establishing penalties for wrongful disclosures and other violations that could contribute to FWA.

Understanding the roles of these laws clarifies that, while the Social Security Act is essential for establishing programs like Medicare, it does not serve as a direct governing law regarding FWA.