Fraud, Waste, and Abuse Training

A visually appealing infographic-style image illustrating healthcare compliance, regulations, and the importance of preventing fraud and abuse in medical settings.

Fraud, Waste, and Abuse Training Quiz

Test your knowledge on important regulations and practices related to fraud, waste, and abuse in healthcare. This quiz contains 10 questions designed to enhance your understanding of essential compliance topics.

Understand key legislation
Identify examples of fraud, waste, and abuse
Improve documentation practices

10 Questions2 MinutesCreated by LearningGuardian742

___________ prohibits knowingly and willfully executing, or attempting to execute, a scheme or lie in connection with the delivery of, or payment for, health care benefits, items, or services to either

Criminal Health Care Fraud Statute

Exclusion Statute

Civil Monetary Penalties Law

Stark Law

Any practice that does not provide patients with medically necessary services or meet professionally recognized standards of care is known as

Fraud

Waste

Abuse

All of the Above

_________________ protects the Federal Government from being overcharged or sold substandard goods or services.

Stark Law

Anti Kickback Statute

Federal Civil False Claims Act

Civil Monetary Penalties Law

Knowingly submitting, or causing to be submitted, false claims or making misrepresentations of fact to obtain a Federal health care payment for which no entitlement would otherwise exist is know as

Fraud

Waste

Abuse

All of the Above

_________________ makes it a crime to knowingly and willfully offer, pay, solicit, or receive any remuneration directly or indirectly to induce or reward patient referrals or the generation of business involving any item or service reimbursable by a Federal health care program.

Anti Kickback Statute

Federal Civil False Claims Act

Stark Law

Civil Monetary Penalties Law

Knowingly soliciting, receiving, offering, or paying remuneration (e.g., kickbacks, bribes, or rebates) to induce or reward referrals for items or services reimbursed by Federal health care programs is an example of

Abuse

Waste

Fraud

None of the Above

________________ prohibits a physician from referring patients to receive “designated health services” payable by Medicare or Medicaid to an entity with which the physician or a member of the physician’s immediate family has a financial relationship, unless an exception applies

Civil Monetary Penalties Law

Stark Law

Anti Kickback Statute

None of the Above

Good documentation practices helps to

Ensure patients get appropriate care

Allows other providers to rely on your medical documentation

Be able to bill more

A and B

Examples of improper claims include all of the following except

Billing medically unnecessary services

Billing services not provided

Billing services performed by an improperly supervised or unqualified employee

Billing Medically Necessary Services

Examples of Abuse Include

Billing for unnecessary medical services

Charging accordingly for services or supplies

Using Correct Codes on a claim

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