False Claims Act Quiz

August 19, 2022
Welcome to your False Claims Act Quiz

Name
Clinic
Email

What is the best definition of Medicaid fraud?

What is the best definition of Medicaid abuse?

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?

A Medicaid provider requires a deposit from a Medicaid member as a condition for continued care.  Is this violation fraud, abuse, or neither?

Are providers financially liable if their billing services commit fraud without the provider’s knowledge?

Are providers financially liable for all claims submitted on their behalf that contain their Medicaid identification number?

What are the penalties that may be imposed on individuals and providers who are convicted of fraud?

What is the term used in the False Claims Act that refers to a person reporting fraud and abuse?

The False Claims Act contains a whistleblower-protection provision for persons reporting fraud and abuse.  What does this mean?

Medicaid has the authority to suspend payment to a provider if fraud is suspected or if an overpayment exists.