1. ___________ is the intentional deception or misrepresentation that an individual knows to be false or does not believe to be true and makes, knowingly that deception could result in some unauthorized benefit.
A. Medicare Claim B. Remittance C. Fraud D. Split Billing
2. Abuse is acting with gross negligence or reckless disregard for the truth in a manner that results in any unnecessary cost or any unnecessary consumption of a healthcare resource.
A. True B. False
3. Medicare Part B helps pay for physician services, outpatient hospital, home health, and other services for those beneficiaries who have voluntarily enrolled. Part D coverage provides subsidized access to drug insurance coverage.
4. Anti-kickback Statute makes it a civil offense to knowingly and willfully offer, pay, solicit, or receive any remuneration to induce or reward referrals of items or services reimbursable by the Federal health care program.
5. The __________ has the authority to exclude (sanction) providers or suppliers from the Medicare Program.
A. Governor of affected State or Territory B. Postmaster General (PG) C. Director of Health and Human Services (HHS) D. Office of Inspector General (OIG)
END Fraud & Abuse TEST
