Health Care Fraud, Waste, and Abuse Prevention Questions Actual Questions and Answers 100%

Which of the following is an example of the best practice strategy to prevent fraud, waste, and abuse? - Establish procedures for maintaining and distributing medication samples If health care providers accept free drug samples from manufacturers, a best practice strategy to prevent fraud, waste, and abuse entails establishing procedures to prevent providers or employees from using free samples for personal gain. HIPAA mandated that health care entities implement which of the following strategies to help reduce the Medicare free-for-service error rate and prevent payment for potential fraudulent activity? - Electronic Health Records EHRs reduce the errors from illegible or missing signatures on bills entities submit to health care insurance agencies. Plus, compared with manual records, they are far more likely to contain all the documentation to support the claim When an employee is a provider's office suspects fraudulent activity and uses the Office of Inspector General (OIG) Hotline to report it, the employee should do which of the following? (Select all that apply). - Stop filing suspicious bills and claims Pursue knowledgeable legal counsel Disengage professionally with the suspected perpetrator Report and return overpayments Which of the following health care resources or services is most vulnerable to fraud, waste, and abuse? - Durable Medical EquipmentBecause providers can bill for high-cost items that patients do not want or need or even provide and then re-acquire them and sell them for a profit. Which of the following agencies of the U.S. government has the authority to exclude individuals and entities from participating in federal health care programs? - Office of Inspector General (OIG) The OIG has the authority to exclude individuals and entities from federal health care programs for fraud and abuse that affect these programs or their beneficiaries. According to recent estimates, which of the following sources of health care waste has had the largest financial impact? - Unwarranted use of medical resources or services