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MOA Compliance, Fraud, and Abuse Exam
Questions and Answers 100% Pass
Compliance is the process of - ✔✔meeting regulations, recommendations, and expectations of federal
and state agencies that pay for health care services and regulate the industry
What is the first step health insurance specialists should take toward achieving compliance so they do not
violate laws, which may result in penalties or fines? - ✔✔Identifying the laws that regulate the industry
Indicate whether each of the following situations is one of fraud or abuse.
a. Under the FCA, billing a claim for services not medically necessary
b. changing a figure on an insurance claim form to get increased payment
c. Dismissing the copayment owed by a Medicare patient
d. Neglecting to refund an overpayment to the patient
e. Billing for a complex fracture when the patient suffered a simple break - ✔✔a. Fraud
b. Fraud
c. Fraud
d. Fraud
e. Fraud
The OIG publication that lists guidelines for compliance programs is the - ✔✔Federal Register
CLIA certifies - ✔✔to run a certain level of tests
Created by Katelyn Whitman © 2025, All Rights Reserved. 100% PASS GUARANTEE
MOA Compliance, Fraud, and Abuse Exam
Questions and Answers 100% Pass
Compliance is the process of - ✔✔meeting regulations, recommendations, and expectations of federal
and state agencies that pay for health care services and regulate the industry
What is the first step health insurance specialists should take toward achieving compliance so they do not
violate laws, which may result in penalties or fines? - ✔✔Identifying the laws that regulate the industry
Indicate whether each of the following situations is one of fraud or abuse.
a. Under the FCA, billing a claim for services not medically necessary
b. changing a figure on an insurance claim form to get increased payment
c. Dismissing the copayment owed by a Medicare patient
d. Neglecting to refund an overpayment to the patient
e. Billing for a complex fracture when the patient suffered a simple break - ✔✔a. Fraud
b. Fraud
c. Fraud
d. Fraud
e. Fraud
The OIG publication that lists guidelines for compliance programs is the - ✔✔Federal Register
CLIA certifies - ✔✔to run a certain level of tests
Created by Katelyn Whitman © 2025, All Rights Reserved. 100% PASS GUARANTEE
