Medicare+ Fraud, Waste, and Abuse Questions and Answers | Latest Version | 2024/2025 | Correct & Verified
8 views 0 purchase
Module
Medicare+ Fraud, Waste, and Abuse
Institution
Medicare+ Fraud, Waste, And Abuse
Medicare+ Fraud, Waste, and Abuse
Questions and Answers | Latest Version
| 2024/2025 | Correct & Verified
What is considered fraud in the Medicare program?
Knowingly submitting false information to receive payments for services not rendered
How can a provider prevent Medicare fraud?
By ...
Medicare+ Fraud, Waste, and Abuse
Questions and Answers | Latest Version
| 2024/2025 | Correct & Verified
What is considered fraud in the Medicare program?
✔✔Knowingly submitting false information to receive payments for services not rendered
How can a provider prevent Medicare fraud?
✔✔By thoroughly reviewing billing records for accuracy and legitimacy
What action should be taken if a healthcare provider suspects fraud, waste, or abuse?
✔✔Report the suspicion to the Medicare Compliance Officer or designated authority
What is the difference between waste and fraud in Medicare?
✔✔Waste involves overutilization of services due to negligence, while fraud involves intentional
deception
Which of the following is an example of waste in Medicare?
✔✔Performing unnecessary tests that are not medically justified
1
, What is the role of Medicare beneficiaries in preventing fraud?
✔✔Being cautious of unsolicited offers and reporting suspicious activities
What is considered abuse in the context of Medicare?
✔✔Providing services that are medically unnecessary or that fail to meet accepted standards of
care
How often must Medicare providers complete training on fraud, waste, and abuse?
✔✔Annually
What should healthcare providers do if they identify an overpayment by Medicare?
✔✔Report the overpayment to the Medicare contractor within the required timeframe
What is one common example of fraud in Medicare billing?
✔✔Submitting a claim for services that were never provided
2
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller SterlingScores. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £7.49. You're not tied to anything after your purchase.
