Medicare Fraud and Abuse Exam Questions And Answers (Verified And Updated)
Medicare Fraud and Abuse Exam Questions And Answers (Verified And Updated) Bribes or kickbacks of any kind for services that are paid under a Federal healthcare program (which includes Medicare) constitute fraud by the person making as well as the person receiving them. - answerTrue Once a corrective action plan is started, the corrective actions must be monitored annually to ensure they are effective. - answerFalse Any person who knowingly submits false claims to the Government is liable for five times the Government's damages caused by the violator plus a penalty. - answerFalse Waste indicates any misuse of resources such as the overuse of services, or other practices that directly or indirectly result in unnecessary costs to the Medicare Program. - answerTrue These are examples of issues that should be reported to a Compliance Department: suspected fraud, waste, and abuse (FWA); potential health privacy violation; and unethical behavior/employee misconduct. - answerTrue Abuse involves payment for items or services when there is no legal entitlement to that payment and the provider has not knowingly and/or intentionally misrepresented facts to obtain payment. - answerTrue
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