Exam 11: Medical Crime

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Boiler rooms with slick telemarketers offered full physicals for little or no fee. This free diagnostic service turned out to be very costly because patients were required to furnish bank information and electronic checks were processed by financial institutions.

(True/False)
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Identify and describe the three most common billing irregularities in physician Medicare fraud.

(Essay)
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American dialysis patients are how many times more likely to die in a given year as those in Western Europe or Japan?

(Multiple Choice)
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The case of Dr.Jose Manaya was described by shocking the judge who sentenced him. He performed unnecessary ____________ on patients.

(Multiple Choice)
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Boiler rooms with slick telemarketers offered full physicals for a little or no fee. This free diagnostic service turned out to be very costly because:

(Multiple Choice)
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Describe how fraud can be committed in medical equipment sales. What are the dangers for the public when this occurs?

(Essay)
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Bounty hunters in the medical fraud area are:

(Multiple Choice)
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What percentage of doctors barred by the Medicare program are not penalized by the state medical boards?

(Multiple Choice)
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Medicare can be an easy mark for fraudulent equipment sales because it often fails to account for the legitimacy of suppliers.

(True/False)
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Which of the following activities could constitute research fraud?

(Multiple Choice)
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Doctors referring patients to labs and other institutions in which they have partial ownership is problematic for all of the following reasons except:

(Multiple Choice)
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________________ services are services that never happened.

(Short Answer)
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Patient referral firms are known as ________________.

(Short Answer)
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Some argue that nursing home abuse occurs for all of the following reasons except:

(Multiple Choice)
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Medicare is an easy mark for fraudulent equipment sales because:

(Multiple Choice)
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Cecil Jacobson operated a ________________ clinic that hurt patients by using his own sperm for fertilization without patient knowledge and using hormones to convince women they were pregnant when they were not.

(Short Answer)
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Explain why the incidence of home care fraud has increased. What forms does it take and why is this crime difficult to investigate?

(Essay)
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One investigator states that catching people who defraud Medicare is like catching fish that jump into the boat. Why would he say this?

(Multiple Choice)
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Psychiatrists represent ________________ % of all doctors.

(Short Answer)
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Health Maintenance Organizations (HMOs) are the new model for providing medical care. Criticisms of HMOs include all of the following except:

(Multiple Choice)
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