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Insurance Exam Prep

Insurance Exam Prep

AHIP Medicare Exam Prep 47, False Claims Act and False Statements

Insurance Exam Prep · Oct 2, 2026 · 3:42

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This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams.

In this episode you will learn:
- How the False Claims Act defines knowingly to include deliberate ignorance and reckless disregard without requiring specific intent to defraud
- The legal liability surrounding false records, forged signatures, and altered enrollment documents in Medicare Advantage and Part D
- How the sixty-day overpayment rule creates reverse false claim liability when improper funds are retained
- The role of whistleblowers, qui tam provisions, and statutory anti-retaliation protections in federal health programs
- The financial and administrative penalties for violations, including treble damages, civil monetary penalties, and program exclusion

For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep

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