Question 1

Despite or perhaps because of the Anti-Fraud Anti-Abuse Amendments of 1977 Medicaid fraud has grown more ________________.

Accepted Answer

sophisticated

Question 2

Psychiatrists represent what percentage of all doctors?

Accepted Answer

A) 2 
B) 8 
C) 15 
D) 20 
A) 2 
B) 8 
C) 15 
D) 20 B

Question 3

Excessive billing can take several forms. What are retainers?

Accepted Answer

A) Patients paying directly for services such as calls, refills, and conferences that Medicare considers covered. 
B) Contracts for services that exceed Medicare limits. 
C) Up-front fees for services covered by Medicare supplemental policies. 
D) Patients giving up the right to question fees. 
A) Patients paying directly for services such as calls, refills, and conferences that Medicare considers covered. 
B) Contracts for services that exceed Medicare limits. 
C) Up-front fees for services covered by Medicare supplemental policies. 
D) Patients giving up the right to question fees. C

Question 4

Upcoding is:

Accepted Answer

A) hospital room charges that are reasonable but other charges are very high. 
B) a procedure where one service is divided into many services and billed accordingly. 
C) services that never happened. 
D) services designated so that maximum fees can be charged. 
A) hospital room charges that are reasonable but other charges are very high. 
B) a procedure where one service is divided into many services and billed accordingly. 
C) services that never happened. 
D) services designated so that maximum fees can be charged.

Question 5

In some instances the equipment is not only nonessential, it is also:

Accepted Answer

A) outdated. 
B) defective. 
C) harmful. 
D) overpriced. 
A) outdated. 
B) defective. 
C) harmful. 
D) overpriced.

Question 6

Bounty hunters in the medical fraud area are doctors who receive a fee for a particular diagnosis.

Accepted Answer

A) True 
 B)False

Question 7

Unbundling is:

Accepted Answer

A) services designated so that maximum fees can be charged. 
B) a procedure where one service is divided into many services and billed accordingly. 
C) hospital room charges that are reasonable but other charges are very high. 
D) services that never happened. 
A) services designated so that maximum fees can be charged. 
B) a procedure where one service is divided into many services and billed accordingly. 
C) hospital room charges that are reasonable but other charges are very high. 
D) services that never happened.

Question 8

What Houston school personnel have been offered rewards to refer troubled students?

Accepted Answer

A) Assistant principals 
B) Teachers 
C) Counselors 
D) Nurses 
A) Assistant principals 
B) Teachers 
C) Counselors 
D) Nurses

Question 9

The phrase "cartel-type frauds" used in connection with health care are frauds perpetrated by criminal organizations.

Accepted Answer

A) True 
 B)False

Question 10

Fragmentation is where a number of charges can be made from what is usually one single less-expensive charge for services or procedures.

Accepted Answer

A) True 
 B)False

Question 11

The ripple effect of false medical diagnoses to get money includes which of the following?

Accepted Answer

A) Negative credit card history created 
B) People denied jobs 
C) People unable to get life insurance 
D) People unable to get bonding necessary for particular jobs 
A) Negative credit card history created 
B) People denied jobs 
C) People unable to get life insurance 
D) People unable to get bonding necessary for particular jobs

Question 12

Equipment sales frauds work for all of the following reasons except:

Accepted Answer

A) doctors' signatures are forged. 
B) Medicare does not review doctors' credentials. 
C) patients pressure doctors to sign forms. 
D) corrupt doctors. 
A) doctors' signatures are forged. 
B) Medicare does not review doctors' credentials. 
C) patients pressure doctors to sign forms. 
D) corrupt doctors.

Question 13

An item that millions use every day that makes it easier to catch psychiatrists in wrongdoing is a wristwatch.

Accepted Answer

A) True 
 B)False

Question 14

Contracts that exceed Medicare limits are called overcharging.

Accepted Answer

A) True 
 B)False

Question 15

Match between columns
                        Premises: Self-referrals
Cartel-type frauds
Waivers
Headhunters
Upcoding
Cost-shifting
Unbundling
Retainers

Accepted Answer

The Answer of A procedure where one service is divided is...

Question 16

Psychiatrists represent 20% of all doctors suspended from Medicaid for fraudulent practices.

Accepted Answer

A) True 
 B)False

Question 17

How effective is the medical profession at policing itself? Give specific examples for your answers. What changes do you think would be needed to improve accountability in the profession?

Accepted Answer

Not very effective. The medica

Question 18

Cost-shifting is where hospital room charges are reasonable, but other charges are very high.

Accepted Answer

A) True 
 B)False

Question 19

Dr.Olga Romani was involved in all of the following except:

Accepted Answer

A) the disfiguring of an acne patient. 
B) billing for 165 visits for a patient she had never seen. 
C) the murder of her partner. 
D) she refused to treat a patient for diaper rash. 
A) the disfiguring of an acne patient. 
B) billing for 165 visits for a patient she had never seen. 
C) the murder of her partner. 
D) she refused to treat a patient for diaper rash.

Question 20

Using animals to test harmful drugs would be an activity that could constitute research fraud.

Accepted Answer

A) True 
 B)False

Despite or perhaps because of the Anti-Fraud Anti-Abuse Amendments of 1977 Medicaid fraud has grown more ________________.

Psychiatrists represent what percentage of all doctors?

Excessive billing can take several forms. What are retainers?

Upcoding is:

In some instances the equipment is not only nonessential, it is also:

Bounty hunters in the medical fraud area are doctors who receive a fee for a particular diagnosis.

Unbundling is:

What Houston school personnel have been offered rewards to refer troubled students?

The phrase "cartel-type frauds" used in connection with health care are frauds perpetrated by criminal organizations.

Fragmentation is where a number of charges can be made from what is usually one single less-expensive charge for services or procedures.

The ripple effect of false medical diagnoses to get money includes which of the following?

Equipment sales frauds work for all of the following reasons except:

An item that millions use every day that makes it easier to catch psychiatrists in wrongdoing is a wristwatch.

Contracts that exceed Medicare limits are called overcharging.

Psychiatrists represent 20% of all doctors suspended from Medicaid for fraudulent practices.

How effective is the medical profession at policing itself? Give specific examples for your answers. What changes do you think would be needed to improve accountability in the profession?

Cost-shifting is where hospital room charges are reasonable, but other charges are very high.

Dr.Olga Romani was involved in all of the following except:

Using animals to test harmful drugs would be an activity that could constitute research fraud.

Introduction

Crimes Against Consumers

Unsafe Products

Environmental Crime

Institutional Corruption: Mass Media and Religion

Securities Fraud

Corporate Fraud

Fiduciary Fraud

Crimes by the Government

Corruption of Public Officials

Computer Crime

Conclusions

Filters

Exam 11: Medical Crime

Despite or perhaps because of the Anti-Fraud Anti-Abuse Amendments of 1977 Medicaid fraud has grown more ________________.

Psychiatrists represent what percentage of all doctors?

Excessive billing can take several forms. What are retainers?

Upcoding is:

In some instances the equipment is not only nonessential, it is also:

Bounty hunters in the medical fraud area are doctors who receive a fee for a particular diagnosis.

Unbundling is:

What Houston school personnel have been offered rewards to refer troubled students?

The phrase "cartel-type frauds" used in connection with health care are frauds perpetrated by criminal organizations.

Fragmentation is where a number of charges can be made from what is usually one single less-expensive charge for services or procedures.

The ripple effect of false medical diagnoses to get money includes which of the following?

Equipment sales frauds work for all of the following reasons except:

An item that millions use every day that makes it easier to catch psychiatrists in wrongdoing is a wristwatch.

Contracts that exceed Medicare limits are called overcharging.

Psychiatrists represent 20% of all doctors suspended from Medicaid for fraudulent practices.

How effective is the medical profession at policing itself? Give specific examples for your answers. What changes do you think would be needed to improve accountability in the profession?

Cost-shifting is where hospital room charges are reasonable, but other charges are very high.

Dr.Olga Romani was involved in all of the following except:

Using animals to test harmful drugs would be an activity that could constitute research fraud.

Introduction

Crimes Against Consumers

Unsafe Products

Environmental Crime

Institutional Corruption: Mass Media and Religion

Securities Fraud

Corporate Fraud

Fiduciary Fraud

Crimes by the Government

Corruption of Public Officials

Computer Crime

Conclusions

Filters