fraud, abuse, and waste questions with correct answers

Fraud, abuse, and waste results in CORRECT ANSWER Overutilization of services ! Increased costs for payers ! Corruption of medical decision making ! Unfair competition ! Harm to patient Fraud CORRECT ANSWER intentional deception or misrepresentation that a person makes to gain a benefit to which they are not entitled Abuse CORRECT ANSWER payment for items or services that the provider is not entitled to and for which the provider has not intentionally misrepresented facts to obtain payment Waste: CORRECT ANSWER incurring unnecessary costs as a result of deficient management practices, systems, or controls False Claims Act CORRECT ANSWER Prohibits the knowing submission of false claims or the use of a false record or statement for payment to Medicare or