Fraud Waste Abuse 3 Final Exam Questions with Actual
Answers.
1. Ways to report potential fraud, waste, and abuse (FWA) All of the
above
include:
2. Bribes or kickbacks of any kind for services that True
are paid under a Federal health care program
(which in- cludes Medicare) constitute fraud by the
person mak- ing as well as the person receiving
them.
3. Abuse involves payment for items or services
when there is no legal entitlement to that True
payment and the provider has not knowingly or
intentionally misrepre- sented facts to obtain
payment.
4. Some of the laws governing Medicare Part C and
D fraud, waste, and abuse (FWA) include the True
Health In- surance Portability and Accountability
Act (HIPAA), the Civil False Claims Act, the Anti-
Kickback Statute, and the Criminal Health Care
Fraud Statute.
5. Waste includes any misuse of resources, such as
the overuse of services or other practices that True
directly or indirectly result in unnecessary costs
to the Medicare Program.
6. Once a corrective action plan is started, the
corrective action plan must be monitored annually
to ensure they are effective. False
7. These are examples of issues that should be
reported to a Compliance Department: suspected
fraud, waste, and abuse (FWA); potential health
privacy violation, unethical behavior, and True
employee misconduct.
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2
Answers.
1. Ways to report potential fraud, waste, and abuse (FWA) All of the
above
include:
2. Bribes or kickbacks of any kind for services that True
are paid under a Federal health care program
(which in- cludes Medicare) constitute fraud by the
person mak- ing as well as the person receiving
them.
3. Abuse involves payment for items or services
when there is no legal entitlement to that True
payment and the provider has not knowingly or
intentionally misrepre- sented facts to obtain
payment.
4. Some of the laws governing Medicare Part C and
D fraud, waste, and abuse (FWA) include the True
Health In- surance Portability and Accountability
Act (HIPAA), the Civil False Claims Act, the Anti-
Kickback Statute, and the Criminal Health Care
Fraud Statute.
5. Waste includes any misuse of resources, such as
the overuse of services or other practices that True
directly or indirectly result in unnecessary costs
to the Medicare Program.
6. Once a corrective action plan is started, the
corrective action plan must be monitored annually
to ensure they are effective. False
7. These are examples of issues that should be
reported to a Compliance Department: suspected
fraud, waste, and abuse (FWA); potential health
privacy violation, unethical behavior, and True
employee misconduct.
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