Fraud, Waste, and Abuse Training
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
___________ 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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