Fraud, Waste and Abuse Training questions with correct answers

Center for Medicare and Medicaid Services (CMS) CORRECT ANSWER The Centers for Medicare & Medicaid Services, is a federal agency within the United States Department of Health and Human Services that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program, and health insurance portability standards. Waste CORRECT ANSWER Incurring unnecessary costs as a result of deficient management, practices, or controls Fraud CORRECT ANSWER Obtaining a benefit through intentional misrepresentation or concealment of material facts Abuse CORRECT ANSWER Excessively or improperly using government resources False Claims Act CORRECT ANSWER Prohibits the submission of false or fraudulent claims to the Government Anti-Kickback Statute CORRECT ANSWER The AKS, 42 U.S.C. Section 1320a-7b(b), makes it a crime to knowingly and willfully offer, pay, solicit, or receive any remuneration directly or indirectly to induce or reward patient referrals or the generation of business involving any item or service reimbursable by a Federal health care program. Exclusion Statute CORRECT ANSWER The Exclusion Statute is the law which is used by the OIG to impose sanctions on individ