CPMA BUNDLED TESTS SCRIPT TESTED
QUESTIONS AND CORRECT SOLUTIONS
VIEW AHEAD PREP UPDATED
⩥ No proof of specific intent to defraud is required to violate the
Civil.
Answer: False Claims Act (FCA)
⩥ An example of violating the False Claims Act (FCA) may be
a.
Answer: a physician who knowingly submits claims to Medicare
for medical services not provided.
⩥ Civil penalties for violations of the False Claims Act (FCA),
occurring on or after 11.25.2015, may include.
Answer: fines of up to 3x the amount of damages sustained by
the Government as a result of the false claims + up to $21,563
per false claim filed.
⩥ Under the Federal criminal statutes, criminal penalties for
submitting false claims may include.
Answer: fines, imprisonment, or both.
,⩥ The Anti-Kickback Statute (AKS).
Answer: makes it a crime to knowingly and willfully offer, pay,
solicit, or receive any remuneration directly or indirectly to
induce or reward referrals of items or services reimbursable by a
Federal health care program.
⩥ Remuneration includes.
Answer: anything of value, such as cash, free rent, expensive
hotel stays and meals, and excessive compensation for medical
directorships or consultancies.
⩥ Civil penalties for violating the AKS may include.
Answer: penalties of up to $50,000 per kickback + 3x the
amount of kickback.
⩥ Criminal penalties for violating the AKS may include.
Answer: fines, imprisonment, or both.
⩥ The Physician Self-Referral Law (Stark Law) prohibits.
Answer: a physician from making a referral for certain
designated health services payable by Medicare or Medicaid to
, an entity in which the physician (or an immediate family
member) has an ownership/investment interest or with which he
or she has a compensation arrangement, unless an exception
applies.
⩥ Penalities for physicians who violate the Stark Law may
include.
Answer: fines, CMPs up to $15,000 for each service repayment
of claims, and potential exclusion from all Federal healthcare
programs.
⩥ The Criminal Health Care Fraud Statute prohibits.
Answer: knowingly and willfully executing, or attempting to
execute, a scheme or artifice in connection with the delivery of
or payment for healthcare benefits, items, or services to either..
defraud any healthcare benefit program
Obtain by means of false or fraudulent pretenses,
representation, or promises) any money or property of any
healthcare benefit program
⩥ Penalties for violating the Criminal Health Care Fraud Statute
may include.
Answer: fines imprisonment, or both
QUESTIONS AND CORRECT SOLUTIONS
VIEW AHEAD PREP UPDATED
⩥ No proof of specific intent to defraud is required to violate the
Civil.
Answer: False Claims Act (FCA)
⩥ An example of violating the False Claims Act (FCA) may be
a.
Answer: a physician who knowingly submits claims to Medicare
for medical services not provided.
⩥ Civil penalties for violations of the False Claims Act (FCA),
occurring on or after 11.25.2015, may include.
Answer: fines of up to 3x the amount of damages sustained by
the Government as a result of the false claims + up to $21,563
per false claim filed.
⩥ Under the Federal criminal statutes, criminal penalties for
submitting false claims may include.
Answer: fines, imprisonment, or both.
,⩥ The Anti-Kickback Statute (AKS).
Answer: makes it a crime to knowingly and willfully offer, pay,
solicit, or receive any remuneration directly or indirectly to
induce or reward referrals of items or services reimbursable by a
Federal health care program.
⩥ Remuneration includes.
Answer: anything of value, such as cash, free rent, expensive
hotel stays and meals, and excessive compensation for medical
directorships or consultancies.
⩥ Civil penalties for violating the AKS may include.
Answer: penalties of up to $50,000 per kickback + 3x the
amount of kickback.
⩥ Criminal penalties for violating the AKS may include.
Answer: fines, imprisonment, or both.
⩥ The Physician Self-Referral Law (Stark Law) prohibits.
Answer: a physician from making a referral for certain
designated health services payable by Medicare or Medicaid to
, an entity in which the physician (or an immediate family
member) has an ownership/investment interest or with which he
or she has a compensation arrangement, unless an exception
applies.
⩥ Penalities for physicians who violate the Stark Law may
include.
Answer: fines, CMPs up to $15,000 for each service repayment
of claims, and potential exclusion from all Federal healthcare
programs.
⩥ The Criminal Health Care Fraud Statute prohibits.
Answer: knowingly and willfully executing, or attempting to
execute, a scheme or artifice in connection with the delivery of
or payment for healthcare benefits, items, or services to either..
defraud any healthcare benefit program
Obtain by means of false or fraudulent pretenses,
representation, or promises) any money or property of any
healthcare benefit program
⩥ Penalties for violating the Criminal Health Care Fraud Statute
may include.
Answer: fines imprisonment, or both
