Question 1

Match the description with the appropriate Federal legislation.
Clarifies who can be held accountable for wrongful disclosure of protected information, which means an individual who discloses the information, as well as the health care organization or entity, may be prosecuted.

Accepted Answer

The answer of Match the description with the appropriate Federal...

Question 2

Match the description with the appropriate Federal legislation.
Provided added strength to combat fraud and abuse in the Medicaid program and changed some compliance programs from voluntary to mandatory.

Accepted Answer

The Deficit Reduction Act provided added strength to combat fraud and abuse in the Medicaid program and changed some compliance programs from voluntary to mandatory.

Question 3

Match the description with the appropriate Federal legislation.
Includes the Beneficiary Incentive Program, Health Care Fraud and Abuse Data Collection Program, and the Medicare Integrity Program.

Accepted Answer

The answer of Match the description with the appropriate Federal...

Question 4

Match the law enforcement agency that fights fraud and abuse with its purpose.
Authorized to bring civil actions related to healthcare fraud and abuse (within its own jurisdiction).

Accepted Answer

The State Attorney General is authorized to bring civil actions related to healthcare fraud and abuse within its own jurisdiction.

Question 5

Match the description with the appropriate Federal legislation.
Bars physician self-referral of Medicare or Medicaid patients to another health care facility/service in which the physician or a family member has a financial interest.

Accepted Answer

This description matches with Stark I and Stark II laws, which are also known as the Physician Self-Referral Law. It prohibits physicians from referring patients to entities in which they or their family members have a financial interest, for designated health services reimbursed by Medicare or Medicaid.

Question 6

Match the law enforcement agency that fights fraud and abuse with its purpose.
Its DCIS branch investigates fraud schemes committed against the military's health insurance.

Accepted Answer

The answer of Match the law enforcement agency that fights...

Question 7

Match the law enforcement agency that fights fraud and abuse with its purpose.
Provides guidance to healthcare providers about complying with local, state, and federal laws and regulations.

Accepted Answer

The Office of Inspector General (OIG) is responsible for combating fraud, waste, and abuse in the healthcare industry. One of their primary roles is to provide guidance to healthcare providers on how to comply with laws and regulations. The Federal Bureau of Investigation (FBI) primarily investigates federal crimes, including financial fraud, but may also work with other agencies to combat healthcare fraud. State attorneys general also have a role in combating healthcare fraud, but their responsibilities may vary between states.

Question 8

Match the law enforcement agency that fights fraud and abuse with its purpose.
Agency that is authorized to conduct civil, administrative, and criminal investigations for Medicare and Medicaid.

Accepted Answer

The Office of Inspector General is specifically directed to combat fraud, waste, and abuse in the Medicare and Medicaid programs, and has the legal authority to conduct civil, administrative, and criminal investigations. The FBI and State Attorney General's Office may also investigate healthcare fraud, but it is not their primary focus.

Question 9

Match the description with the appropriate Federal legislation.
Used to prosecute healthcare providers who knowingly submit false claims to receive reimbursement for services that were never rendered to patients.

Accepted Answer

The False Claims Act is used to prosecute healthcare providers who knowingly submit false claims to receive reimbursement for services that were never rendered to patients.

Other options:
A) American Recovery and Reinvestment Act: This legislation focused on providing economic stimulus through increased government spending.
B) Deficit Reduction Act: This legislation was passed to reduce the federal deficit by cutting government spending.
D) Health Insurance Portability and Accountability Act: This legislation established privacy and security standards for protected health information.
E) Stark I and Stark II: These legislations focused on prohibiting physician self-referral in certain situations.

Question 10

Match the law enforcement agency that fights fraud and abuse with its purpose
Federal agency whose authority extends beyond the jurisdiction of government programs.

Accepted Answer

The Federal Bureau of Investigation (FBI) is a federal agency with authority that extends beyond government programs, allowing it to investigate a wide range of criminal activities, including fraud and abuse, across the United States.

Quiz 14: Health-Care Fraud and Abuse: Part A

Match the description with the appropriate Federal legislation. Clarifies who can be held accountable for wrongful disclosure of protected information, which means an individual who discloses the information, as well as the health care organization or entity, may be prosecuted.

Match the description with the appropriate Federal legislation. Provided added strength to combat fraud and abuse in the Medicaid program and changed some compliance programs from voluntary to mandatory.

Match the description with the appropriate Federal legislation. Includes the Beneficiary Incentive Program, Health Care Fraud and Abuse Data Collection Program, and the Medicare Integrity Program.

Match the law enforcement agency that fights fraud and abuse with its purpose. Authorized to bring civil actions related to healthcare fraud and abuse (within its own jurisdiction) .

Match the description with the appropriate Federal legislation. Bars physician self-referral of Medicare or Medicaid patients to another health care facility/service in which the physician or a family member has a financial interest.

Match the law enforcement agency that fights fraud and abuse with its purpose. Its DCIS branch investigates fraud schemes committed against the military's health insurance.

Match the law enforcement agency that fights fraud and abuse with its purpose. Provides guidance to healthcare providers about complying with local, state, and federal laws and regulations.

Match the law enforcement agency that fights fraud and abuse with its purpose. Agency that is authorized to conduct civil, administrative, and criminal investigations for Medicare and Medicaid.

Match the description with the appropriate Federal legislation. Used to prosecute healthcare providers who knowingly submit false claims to receive reimbursement for services that were never rendered to patients.

Match the law enforcement agency that fights fraud and abuse with its purpose Federal agency whose authority extends beyond the jurisdiction of government programs.