CCEP Lesson 10 Homework – Fraud and Abuse

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Question 1 of 5

1. Question
What is fraud in healthcare?
- a. Unintentional misrepresentation of facts
- b. Intentional misrepresentation of facts
- c. Providing substandard goods or services
- d. Offering payment for referrals
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Question 2 of 5

2. Question
What is abuse in healthcare?
- a. Unintentional misrepresentation of facts
- b. Intentional misrepresentation of facts
- c. Providing substandard goods or services
- d. Offering payment for referrals
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Question 3 of 5

3. Question
What is the False Claims Act?
- a. A law that prohibits kickbacks for patient referrals
- b. A law that prohibits submitting false or fraudulent claims for payment to Medicare or Medicaid
- c. A law that imposes criminal fines and imprisonment for submitting false claims
- d. A law that permits a private individual to file a lawsuit on behalf of the United States and receive a portion of any recoveries.
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Question 4 of 5

4. Question
What is the Anti-Kickback Statute?
- a. A law that prohibits kickbacks for patient referrals
- b. A law that prohibits submitting false or fraudulent claims for payment to Medicare or Medicaid
- d. A law that imposes criminal fines and imprisonment for submitting false claims
- d. A law that permits a private individual to file a lawsuit on behalf of the United States and receive a portion of any recoveries.
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Question 5 of 5

5. Question
What are the consequences of violating the Anti-Kickback Act?
- a. Civil fines up to $10,000 per false claim
- b. Criminal fines up to $25,000, civil fines up to $50,000, and imprisonment for up to five years
- c. Fines of up to three times the program's loss, in addition to $11,000 per claim filed.
- d. Exclusion from federal programs
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CCEP Lesson 10 Homework – Fraud and Abuse

CCEP Lesson 10 Homework – Fraud and Abuse

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