Billing for services not rendered

Upcoding

Unbundling

Phantom billing

Billing for a higher level of service than was actually provided

Billing for a service that was not medically necessary

Billing for a service that was not covered by the patient's insurance plan

All of the above

Billing for each individual component of a service that is normally billed as a single unit

Billing for a service that was not medically necessary

Billing for a service that was not covered by the patient's insurance plan

All of the above

Billing for a service that was never actually performed

Billing for a service that was not medically necessary

Billing for a service that was not covered by the patient's insurance plan

All of the above

Fines

Imprisonment

Exclusion from participation in Medicare and Medicaid

All of the above

Contact your state's Medicaid Fraud Control Unit

Contact the National Health Care Anti-Fraud Association

Contact the FBI

All of the above

A law that prohibits knowingly submitting false or fraudulent claims to the government

A law that prohibits knowingly submitting false or fraudulent claims to private health insurers

A law that prohibits knowingly submitting false or fraudulent claims to both the government and private health insurers

None of the above

A law that prohibits physicians from referring patients to entities in which they have a financial interest

A law that prohibits hospitals from entering into exclusive contracts with physicians

A law that prohibits health insurers from discriminating against providers who do not participate in their networks

None of the above

A law that prohibits offering, paying, soliciting, or receiving any remuneration in exchange for referrals of patients or patronage

A law that prohibits physicians from self-referring patients

A law that prohibits hospitals from entering into exclusive contracts with physicians

None of the above

A law that protects the privacy of health information

A law that prohibits discrimination against individuals with pre-existing conditions

A law that requires health insurers to cover a minimum set of benefits

None of the above

A law that prohibits knowingly submitting false or fraudulent claims to Medicare or Medicaid

A law that prohibits physicians from self-referring patients

A law that prohibits hospitals from entering into exclusive contracts with physicians

None of the above

A law that prohibits knowingly submitting false or fraudulent claims to Medicaid

A law that prohibits physicians from self-referring patients

A law that prohibits hospitals from entering into exclusive contracts with physicians

None of the above

A law that regulates employee benefit plans

A law that prohibits discrimination against individuals with pre-existing conditions

A law that requires health insurers to cover a minimum set of benefits

None of the above

A law that reformed the health insurance industry in the United States

A law that prohibits discrimination against individuals with pre-existing conditions

A law that requires health insurers to cover a minimum set of benefits

All of the above

CMS is responsible for investigating and prosecuting health insurance fraud and abuse

CMS is responsible for setting standards for health insurance plans

CMS is responsible for approving new drugs and devices

All of the above