Medicare Fraud and Abuse
Study online at https://quizlet.com/_cl1j0w
1. Bribes or kickbacks of any kind for services that are True
paid under a Federal healthcare program (which in-
cludes Medicare) constitute fraud by the person mak-
ing as well as the person receiving them.
2. Once a corrective action plan is started, the corrective False
actions must be monitored annually to ensure they are
effective.
3. Any person who knowingly submits false claims to the False
Government is liable for five times the Government's
damages caused by the violator plus a penalty.
4. Waste indicates any misuse of resources such as the True
overuse of services, or other practices that directly or
indirectly result in unnecessary costs to the Medicare
Program.
5. These are examples of issues that should be reported True
to a Compliance Department: suspected fraud, waste,
and abuse (FWA); potential health privacy violation;
and unethical behavior/employee misconduct.
6. Abuse involves payment for items or services when True
there is no legal entitlement to that payment and the
provider has not knowingly and/or intentionally mis-
represented facts to obtain payment.
7. Ways to report fraud, waste, and abuse (FWA) include E. All of the above
8. These are examples of issues that can be reported to a True
Compliance Department: suspected fraud, waste, and
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Study online at https://quizlet.com/_cl1j0w
1. Bribes or kickbacks of any kind for services that are True
paid under a Federal healthcare program (which in-
cludes Medicare) constitute fraud by the person mak-
ing as well as the person receiving them.
2. Once a corrective action plan is started, the corrective False
actions must be monitored annually to ensure they are
effective.
3. Any person who knowingly submits false claims to the False
Government is liable for five times the Government's
damages caused by the violator plus a penalty.
4. Waste indicates any misuse of resources such as the True
overuse of services, or other practices that directly or
indirectly result in unnecessary costs to the Medicare
Program.
5. These are examples of issues that should be reported True
to a Compliance Department: suspected fraud, waste,
and abuse (FWA); potential health privacy violation;
and unethical behavior/employee misconduct.
6. Abuse involves payment for items or services when True
there is no legal entitlement to that payment and the
provider has not knowingly and/or intentionally mis-
represented facts to obtain payment.
7. Ways to report fraud, waste, and abuse (FWA) include E. All of the above
8. These are examples of issues that can be reported to a True
Compliance Department: suspected fraud, waste, and
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