which of the following requires intent to obtain payment and the knowledge the actions are wrong?

The requirement of intent to obtain payment and the knowledge that the actions are wrong applies to fraud. Fraud involves knowingly and intentionally deceiving to secure a payment or benefit, and the person committing fraud is aware that their actions are wrongful. In contrast, waste and abuse may involve obtaining improper payments but do not necessarily require this intent and knowledge. This understanding is consistent across multiple sources that explain fraud in the context of healthcare and benefit programs. Fraud carries legal consequences including civil and criminal penalties due to the intentional and knowing nature of the acts involved.