False Claims Act Quiz June 21, 2021 | No Comments April 20, 2024 Welcome to your False Claims Act Quiz Name Clinic Email What is the best definition of Medicaid fraud? Attempting a scheme against the Medicaid program Knowingly executing a scheme against the Medicaid program Willfully executing a scheme against the Medicaid program All of the above What is the best definition of Medicaid abuse? Knowingly defrauding the Medicaid program Intentionally violating Medicaid guidelines Unknowingly violating Medicaid guidelines None of the above A provider intentionally upcodes services to a higher level in order to receive a larger reimbursement from Medicaid. Is this violation fraud, abuse, or neither? Fraud Abuse Neither A Medicaid provider requires a deposit from a Medicaid member as a condition for continued care. Is this violation fraud, abuse, or neither? Fraud Abuse Neither Are providers financially liable if their billing services commit fraud without the provider’s knowledge? Yes No Are providers financially liable for all claims submitted on their behalf that contain their Medicaid identification number? Yes No What are the penalties that may be imposed on individuals and providers who are convicted of fraud? Loss of medical license imprisonment civil penalties, plus triple damages All of the above What is the term used in the False Claims Act that refers to a person reporting fraud and abuse? Singer Tattletale Informant Whistleblower The False Claims Act contains a whistleblower-protection provision for persons reporting fraud and abuse. What does this mean? Persons reporting fraud or abuse may be subject to the same penalties as the persons committing the fraud or abuse. Persons reporting fraud or abuse can be discharged or demoted. Persons reporting fraud and abuse who are discharged, demoted, suspended, harassed, or discriminated against have protection from such actions. Persons reporting fraud and abuse will be guaranteed another position if they are discharged from their current position. Medicaid has the authority to suspend payment to a provider if fraud is suspected or if an overpayment exists. True False Time's up
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