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AAPC CPB Chapter 1-5/ 477 Q&A/ Already Graded A+/

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AAPC CPB Chapter 1-5/ 477 Q&A/ Already Graded A+/ . Terms like: A physician billed claims to Medicare and Medicaid for procedures that were not performed on 800 patients resulting in loss of 2.6 million dollars. Is this fraud or abuse? a. Fraud; subject to the Anti-kickback Statute b. Fraud; subject to the False Claims Act c. Abuse; subject only to education of the provider d. Abuse; subject to the Stark Law - Answer: b. Fraud; subject to the False Claims Act

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Uploaded on
October 14, 2024
Number of pages
122
Written in
2024/2025
Type
Exam (elaborations)
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Questions & answers

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AAPC CPB Chapter 1-5/ 477 Q&A/ Already
Graded A+/ 2024-2025
A physician billed claims to Medicare and Medicaid for procedures that were not
performed on 800 patients resulting in loss of 2.6 million dollars. Is this fraud or
abuse?


a. Fraud; subject to the Anti-kickback Statute
b. Fraud; subject to the False Claims Act
c. Abuse; subject only to education of the provider
d. Abuse; subject to the Stark Law - Answer: b. Fraud; subject to the False Claims
Act


01 - Answer: Pharmacy**


02 - Answer: Unassigned

Page 1 of 122

,03 - Answer: School


04 - Answer: Homeless Shelter


05 - Answer: Indian Health Service Free-standing Facility


06 - Answer: Indian Health Service Provider-based Facility


07 - Answer: Tribal 638 Free-standing Facility


08 - Answer: Tribal 638 Provider-based Facility


09 - Answer: Prison-Correctional Facility***


10 - Answer: Unassigned


11 - Answer: Office


12 - Answer: Home


13 - Answer: Assisted Living Facility


14 - Answer: Group Home*



Page 2 of 122

,15 - Answer: Mobile Unit


16-19 - Answer: Unassigned


20 - Answer: Urgent Care Facility


21 - Answer: Inpatient Hospital


22 - Answer: Outpatient Hospital


23 - Answer: Emergency Room - Hospital


24 - Answer: Ambulatory Surgical Center


25 - Answer: Birthing Center


26 - Answer: Military Treatment Facility


27-30 - Answer: Unassigned


31 - Answer: Skilled Nursing Facility


32 - Answer: Nursing Facility


33 - Answer: Custodial Care Facility

Page 3 of 122

, 34 - Answer: Hospice


35-40 - Answer: Unassigned


41 - Answer: Ambulance - Land


42 - Answer: Ambulance - Air or Water


43-48 - Answer: Unassigned


49 - Answer: Independent Clinic


50 - Answer: Federally Qualified Health Center


51 - Answer: Inpatient Psychiatric Facility


52 - Answer: Psychiatric Facility-Partial Hospitalization


53 - Answer: Community Mental Health Center


54 - Answer: Intermediate Care Facility/Mentally Retarded


55 - Answer: Residential Substance Abuse Treatment Facility



Page 4 of 122
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