AHIP Fraud, Waste, and Abuse (FWA) Practice Exam

Verifying the prescriber authenticity is essential when assessing a large quantity prescription that seems unusual. Ensuring the credibility of the prescriber helps to rule out the possibility of fraudulent activity or abuse. If a prescription is for an unusually large quantity, it could indicate that the prescriber may not be legitimate, or that they may be engaged in unethical practices.

Assessing prescriber authenticity involves checking their credentials, ensuring they are licensed to practice in their field, and confirming they are authorized to prescribe the specific medication in question. This step is critical because if the prescriber is not valid, the legitimacy of the entire prescription comes into question.

While patient history, prescription quantity, and pharmacy policies are also important aspects to review, confirming the prescriber's authenticity directly addresses the root of potential fraud or abuse linked to the prescription. Understanding who issued the prescription can help determine the appropriate next steps in the review process for suspicious prescriptions.