Chapter 4 - Key Enforcement Laws
Exam 2025 Questions and Answers
a. Stark
Response Feedback: Because these businesses provide designated health services, Stark
is triggered. - ....ANSWER ...-Physicians sometimes own other health-related
businesses, such as physical therapy facilities, DME or home health companies,
diagnostic imaging centers, or laboratories. Because these businesses provide
designated health services, what may be triggered?
a. Stark
b. FCA
c. Qui Tam
d. Anti-kickback
a. FCA, AKS, Stark, Exclusion, CMPL
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 1
,Response Feedback:
The five most important Federal fraud and abuse laws that apply to physicians are the
False Claims Act (FCA), the Anti-Kickback Statute (AKS), the Physician Self-Referral
Law (Stark law), the Exclusion Authorities, and the Civil Monetary Penalties Law
(CMPL). Government agencies, including the Department of Justice, the Department of
Health & Human Services Office of Inspector General (OIG), and the Centers for
Medicare & Medicaid Services (CMS), are charged with enforcing these laws. -
....ANSWER ...-Tim is the Compliance Officer for the Apple Internal Medicine
Group. He conducts the in-service training for all new employees. He discusses the 5
most important federal fraud and abuse laws. These are:
a. FCA, AKS, Stark, Exclusion, CMPL
b. ACA, OIG, CMS, ACO, FCA
c. FCA, AKS, Stark, CMPL, OIG
d. Stark, AKS, Exclusion, FCA, OIG
c. Stark
Response Feedback:
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 2
, The Stark law prohibits payments for certain "Designated Health Services" provided
through a prohibited referral and requires refunds for any amounts improperly billed and
collected. It provides for a civil monetary penalty (up to $15,000 per service) and
exclusion from government programs in any case where a person submits an improper
claim, which was known to have been, or should have been known to have been,
provided through a prohibited referral, and has not refunded the payment. -
....ANSWER ...-Which law provides for a civil monetary penalty (up to $15,000 per
service) and exclusion from government programs in any case where a person submits
an improper claim, which was known to have been, or should have been known to have
been, provided through a prohibited referral, and has not refunded the payment?
a. Anti-Kickback
b. Qui Tam
c. Stark
d. HIPAA
a. No. Larry needs to know the laws, but if a mistake is made and then corrected, he will
not be fined under the False Claims Act.
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 3
Exam 2025 Questions and Answers
a. Stark
Response Feedback: Because these businesses provide designated health services, Stark
is triggered. - ....ANSWER ...-Physicians sometimes own other health-related
businesses, such as physical therapy facilities, DME or home health companies,
diagnostic imaging centers, or laboratories. Because these businesses provide
designated health services, what may be triggered?
a. Stark
b. FCA
c. Qui Tam
d. Anti-kickback
a. FCA, AKS, Stark, Exclusion, CMPL
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 1
,Response Feedback:
The five most important Federal fraud and abuse laws that apply to physicians are the
False Claims Act (FCA), the Anti-Kickback Statute (AKS), the Physician Self-Referral
Law (Stark law), the Exclusion Authorities, and the Civil Monetary Penalties Law
(CMPL). Government agencies, including the Department of Justice, the Department of
Health & Human Services Office of Inspector General (OIG), and the Centers for
Medicare & Medicaid Services (CMS), are charged with enforcing these laws. -
....ANSWER ...-Tim is the Compliance Officer for the Apple Internal Medicine
Group. He conducts the in-service training for all new employees. He discusses the 5
most important federal fraud and abuse laws. These are:
a. FCA, AKS, Stark, Exclusion, CMPL
b. ACA, OIG, CMS, ACO, FCA
c. FCA, AKS, Stark, CMPL, OIG
d. Stark, AKS, Exclusion, FCA, OIG
c. Stark
Response Feedback:
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 2
, The Stark law prohibits payments for certain "Designated Health Services" provided
through a prohibited referral and requires refunds for any amounts improperly billed and
collected. It provides for a civil monetary penalty (up to $15,000 per service) and
exclusion from government programs in any case where a person submits an improper
claim, which was known to have been, or should have been known to have been,
provided through a prohibited referral, and has not refunded the payment. -
....ANSWER ...-Which law provides for a civil monetary penalty (up to $15,000 per
service) and exclusion from government programs in any case where a person submits
an improper claim, which was known to have been, or should have been known to have
been, provided through a prohibited referral, and has not refunded the payment?
a. Anti-Kickback
b. Qui Tam
c. Stark
d. HIPAA
a. No. Larry needs to know the laws, but if a mistake is made and then corrected, he will
not be fined under the False Claims Act.
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 3
