FWA - Medicare Fraud, Waste, & Abuse. Top Exam Questions and answers, 100% Accurate.
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FWA
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FWA
FWA - Medicare Fraud, Waste, & Abuse. Top Exam Questions and answers, 100% Accurate.
A chiropractor, in an intentional attempt to falsely get Medicare Program money, billed medically unnecessary services and falsified the beneficiary's Medicare claim diagnosis. Depending on the facts and cir...
FWA - Medicare Fraud, Waste, & Abuse.
Top Exam Questions and answers, 100%
Accurate.
A chiropractor, in an intentional attempt to falsely get Medicare Program money, billed medically
unnecessary services and falsified the beneficiary's Medicare claim diagnosis. Depending on the facts
and circumstances, she most likely committed - ✔✔-Medicare fraud or abuse because she knowingly
submitted false Medicare Program claims
You can help prevent Medicare fraud & abuse by - ✔✔-All of the above
Medicare abuse includes any practice inconsistent with the goals of providing patients with all
requested services, meeting professionally recognized standards, and charging fair prices. - ✔✔-True
You can help prevent Medicare fraud & abuse by properly and thoroughly documenting all services
provided to Medicare beneficiaries - ✔✔-True
Select the true statement - ✔✔-MACs, CERT Contractors, and Recovery Audit Program Recovery
Auditors review only claims and generally do not investigate health care providers suspected of
Medicare fraud & abuse
Health care providers can prevent fraud & abuse in the Medicare Program by - ✔✔-All of the above
You may report suspected fraud & abuse anonymously to the Office of Inspector General (OIG) via -
✔✔-All of the above
Possible Medicare fraud & abuse penalties include - ✔✔-A, B, and C
, The Federal laws that address fraud & abuse include - ✔✔-All of the above
Health care providers use the Self-Referral Disclosure Protocol (SRDP) to report all suspected fraud &
abuse - ✔✔-True
Center for Medicare and Medicaid Services (CMS)
The Centers for Medicare & Medicaid Services, is a federal agency within the United States Department
of Health and Human Services that administers the Medicare program and works in partnership with
state governments to administer Medicaid, the Children's Health Insurance Program, and health
insurance portability standards.
Waste
Incurring unnecessary costs as a result of deficient management, practices, or controls
Fraud
Obtaining a benefit through intentional misrepresentation or concealment of material facts
Abuse
Excessively or improperly using government resources
False Claims Act
Prohibits the submission of false or fraudulent claims to the Government
Anti-Kickback Statute
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