CPMA VERIFIED GUIDE
What type of billing activity is considered fraud?
A) Billing for a service at a lower level than provided
B) Billing for a service at a higher level than provided
C) Billing for a service without proof of providing it
D) Billing for a service with supporting document...
CPMA VERIFIED GUIDE
What type of billing activity is considered fraud?
A) Billing for a service at a lower level than provided
B) Billing for a service at a higher level than provided
C) Billing for a service without proof of providing it
D) Billing for a service with supporting documentation
Correct answer: B) Billing for a service at a higher level than provided
Who is a qui tam relator?
A) A person who brings a civil action against the government
B) A person who brings a civil action for a violation for themselves and the US government
C) A person who brings a civil action against a healthcare provider
D) A person who brings a civil action against the government for themselves
Correct answer: B) A person who brings a civil action for a violation for themselves and the US
government
What is the difference between Stark Law and Anti-Kickback Law?
A) No intent must be proven for Stark, proof of intent is required for Anti-Kickback
B) Proof of intent is required for Stark, no intent must be proven for Anti-Kickback
C) Both laws require proof of intent
D) Both laws do not require proof of intent
Correct answer: A) No intent must be proven for Stark, proof of intent is required for Anti-Kickback
, How long is an individual excluded from federal/state healthcare programs?
A) 1 year
B) 3 years
C) 5 years
D) 10 years
Correct answer: C) 5 years
How often are the OIG workplans updated?
A) Daily
B) Weekly
C) Monthly online
D) Annually
Correct answer: C) Monthly online
The Federal False Claims Act allows for reduced penalties if the person committing the violation does
what?
A) Denies responsibility for the violation
B) Self-discloses the violation
C) Fights the case in court
D) Pleads guilty to the violation
Correct answer: B) Self-discloses
What type of activity is misrepresenting a diagnosis to justify payment?
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