CPB Exam Questions 2024.

CPB Exam Questions 2024. Abuse - correct answer An action that results in unnecessary costs to a federal healthcare program, directly or indirectly. Anti-kickback - correct answer Knowingly and willfully offering or accepting rewards or remuneration for services that are billable to a federal healthcare plan. Benefiiciary - correct answer An individual that is eligible for Medicare or Medicaid benefits based on the CMS guidelines. Conditions of Participation (CoP) - correct answer Conditions that healthcare organizations must meet in order to participate with the plan or program. Covered Entity - correct answer Clearinghouse and providers who electronically transmit any health information in connection with transactions for which HHS has adopted standards. Criminal Healthcare Fraud Act - correct answer Scheme to willingly defraud any healthcare benefit program. False Claims Act - correct answer Federal statute setting criminal and civil penalties for falsely billing the government; over representing the amount of a delivered product, or under stating an obligation to the government. Fraud - correct answer Making false statements or misrepresenting facts to obtain an undeserved benefit or payment from a federal HC program. HIPAA-Health Insurance Portability and Accountability Act of 1996 - correct answer Federal law in which the primary goal is to make it easier for people to keep insurance, protect the confidentiality and security of HC info and help control administration costs.