Third party fraud - Study guides, Class notes & Summaries

CAFCA Combined Exam Questions With Revised Correct Detailed Answers |ALREADY GRADED A+ PASS >> BRAND NEW VERSION! 1) What is the difference between anti-fraud and AML monitoring? - ANSWER Anti-fraud monitoring ultimately aims to reduce an organization's fraud losses. AML efforts are done mainly to comply with regulations and ensure that an organization is not used for money laundering. 2) Anti-fraud vs AML monitoring solutions - ANSWER Anti-fraud...

NHA CBCS study guide Questions and Answers (2024 / 2025) (Verified Answers) When submitting claims, which of the following is the outcome if Block 13 is left blank? The third-party payer reimburses the patient, and the patient is responsible for reimbursing the provider Which of the following do physicians use to electronically submit claims? clearinghouse When billing a secondary insurance company, which block should the billing and coding specialist fill out on the CMS-1500 claim ...

Wrongful or criminal deception intended to result in financial or personal gain is called: - Answer- fraud The Buyer and Seller Temporary Residential Lease forms may be used for a lease period not to exceed: - Answer- 90 days __________ extend above the surface without limitation. - Answer- air rights An example(s) of an appurtenance would be: - Answer- easements There is no upper limit on the value of a Texas homestead. - Answer- true A(n) __________ is one that combines some of ...

Which of the following best explains the consistent growth of the federal bureaucracy over the past hundred years? (A) Increases in federal income tax since 1925 (B) The inability of Congress to cut programs (C) The success of Democratic presidents in promoting their policies (D) Public demand for, and expectation of, social services (E) United States Supreme Court rulings requiring Congress to assist those living in poverty - Answer- Public demand for, and expectation of, social services ...

US & GA History Exemption Exam (UGA) Already Passed In what year was Georgia established? 1732 When did settlement take place in Savannah? 1733 How long was Georgia in existence before there was a governor or governing body within the colony itself? Two decades Who ruled Georgia in the beginning? Board of Trustees Define: Board of Trustees The governing body of Georgia in London England. King George signed a charter establishing the colony and creating its governing board What years is Geor...

Which one of the following is a managerial control measure to protect against the frequency of fraud losses? A. Stay informed of new varieties of fraud B. Install surveillance cameras C. Place marked cash in vaults D. Screen potential applicants - A Directors and officers of a corporation have fiduciary duties, which include the duty of being A. Inquisitive. B. Honest. C. Loyal. D. Trustworthy. - C Cyber crime can be controlled through the use of effective loss prevention and loss reduct...

Model Laws - ️️NAIC develops that they feel is an appropriate law related to insurance/risk management Conflict of Interest - ️️a situation that occurs when a decision makers personal interests interfere to the extent that he/she makes decisions that adversely affect the customer, claimant, or employer Four Parts of Negligence - ️️- a duty owed to protect (or not go out of your way to harm) another party. - a breach of that duty - damage or injury occurs, - the damage or injury ...

Test Bank for Business Law: Text and Cases, 16e 16th Edition by Kenneth W. Clarkson, Roger LeRoy Miller. Full Chapters test bank are included with answers (Chapter 1 to 51) UNIT I: THE LEGAL ENVIRONMENT OF BUSINESS. 1. Law and Legal Reasoning. 2. Business and the Constitution. 3. Ethics in Business. 4. Courts and Alternative Dispute Resolution. 5. Court Procedures. UNIT II: TORTS AND CRIMES. 6. Tort Law. 7. Strict Liability and Product Liability. 8. Intellectual Property Rights. 9. ...

Wrongful or criminal deception intended to result in financial or personal gain is called: - Answer- fraud The Buyer and Seller Temporary Residential Lease forms may be used for a lease period not to exceed: - Answer- 90 days __________ extend above the surface without limitation. - Answer- air rights An example(s) of an appurtenance would be: - Answer- easements There is no upper limit on the value of a Texas homestead. - Answer- true A(n) __________ is one that combines some of ...

Illegal gratuity - Items to reward a decision after the recipient made the decision. Like a bribe Extortion - getting money by threats Economic extortion - When employee demands money through threats Kickbacks - Improper undisclosed payments made to obtain favorable treatment Three ways to prove corrupt payments - 1. Turn an inside witness 2. Secretly infiltrate ongoing transactions 3. Identify and trace corrupt payments through audit trail Inventory shrinkage - Loss of inventory resultin...