Fraud, Waste & Abuse
2009 Fraud, Waste & Abuse training quiz, pursuant to CMS Guidelines. Required for all employees of APS.
- 1.True or False: All employees are required to take yearly training on "Fraud, Waste & Abuse" by the Centers for Medicare & Medicaid Services (CMS)
- A.
True
- B.
False
- 2.Which of the following is an example of fraud:
- A.
Billing an insurance company for CPT-code 90805 (brief therapy w/medication management) when the patient saw the doctor for 30 minutes
- B.
Billing an insurance company for CPT-Code 90807 (Extended therapy, 30-40 minutes w/medication management) when the patient only saw the doctor for 15 minutes
- C.
Not enterting a bill after a patient visit is completed
- 3.Which of the following is NOT an example of an illegal action under the "False Claims Act"
- A.
A government contractor who submits records that he knows (or should know) is false and that indicate compliance with certain contractual or regulatory requirements.
- B.
A physician who treats more than 20 patients per day
- C.
A physician who submits a bill to Medicare for medical services not provided.
- 4.True or False: A "whistleblower" permits private citizens with knowledge of fraud against the U.S. Government or state government to file suit on behalf of the government against the person or business that committed the fraud.
- A.
True
- B.
False
- 5.True or False: "Doctor Shopping" is an example of "Consumer Fraud, Waste & Abuse"?
- A.
True
- B.
False
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