0

Medicare and Medicaid Fraud

Description: Medicare and Medicaid Fraud Quiz
Number of Questions: 15
Created by:
Tags: medicare medicaid fraud healthcare
Attempted 0/15 Correct 0 Score 0

What is the primary purpose of Medicare?

  1. To provide health insurance to low-income individuals

  2. To provide health insurance to individuals over the age of 65

  3. To provide health insurance to individuals with disabilities

  4. To provide health insurance to individuals who are unemployed


Correct Option: B
Explanation:

Medicare is a federal health insurance program that provides coverage to individuals who are 65 years of age or older, as well as to certain younger individuals with disabilities and individuals with End-Stage Renal Disease (ESRD).

What is the primary purpose of Medicaid?

  1. To provide health insurance to low-income individuals

  2. To provide health insurance to individuals over the age of 65

  3. To provide health insurance to individuals with disabilities

  4. To provide health insurance to individuals who are unemployed


Correct Option: A
Explanation:

Medicaid is a federal and state health insurance program that provides coverage to low-income individuals, families, and children, as well as to certain individuals with disabilities and individuals who are pregnant.

What is Medicare fraud?

  1. Intentionally misrepresenting or omitting information to obtain Medicare benefits

  2. Billing for services or supplies that were not provided

  3. Charging more for services or supplies than they are worth

  4. All of the above


Correct Option: D
Explanation:

Medicare fraud is any intentional deception or misrepresentation that results in an unauthorized benefit or payment from Medicare. This can include intentionally misrepresenting or omitting information to obtain Medicare benefits, billing for services or supplies that were not provided, or charging more for services or supplies than they are worth.

What is Medicaid fraud?

  1. Intentionally misrepresenting or omitting information to obtain Medicaid benefits

  2. Billing for services or supplies that were not provided

  3. Charging more for services or supplies than they are worth

  4. All of the above


Correct Option: D
Explanation:

Medicaid fraud is any intentional deception or misrepresentation that results in an unauthorized benefit or payment from Medicaid. This can include intentionally misrepresenting or omitting information to obtain Medicaid benefits, billing for services or supplies that were not provided, or charging more for services or supplies than they are worth.

What are some common types of Medicare fraud?

  1. Billing for services or supplies that were not provided

  2. Charging more for services or supplies than they are worth

  3. Intentionally misrepresenting or omitting information to obtain Medicare benefits

  4. All of the above


Correct Option: D
Explanation:

Common types of Medicare fraud include billing for services or supplies that were not provided, charging more for services or supplies than they are worth, and intentionally misrepresenting or omitting information to obtain Medicare benefits.

What are some common types of Medicaid fraud?

  1. Billing for services or supplies that were not provided

  2. Charging more for services or supplies than they are worth

  3. Intentionally misrepresenting or omitting information to obtain Medicaid benefits

  4. All of the above


Correct Option: D
Explanation:

Common types of Medicaid fraud include billing for services or supplies that were not provided, charging more for services or supplies than they are worth, and intentionally misrepresenting or omitting information to obtain Medicaid benefits.

What are the consequences of Medicare fraud?

  1. Fines

  2. Imprisonment

  3. Exclusion from Medicare

  4. All of the above


Correct Option: D
Explanation:

The consequences of Medicare fraud can include fines, imprisonment, exclusion from Medicare, and other civil and criminal penalties.

What are the consequences of Medicaid fraud?

  1. Fines

  2. Imprisonment

  3. Exclusion from Medicaid

  4. All of the above


Correct Option: D
Explanation:

The consequences of Medicaid fraud can include fines, imprisonment, exclusion from Medicaid, and other civil and criminal penalties.

How can I report Medicare fraud?

  1. Call the Medicare Fraud Hotline at 1-800-MEDICARE (1-800-633-4227)

  2. Visit the Medicare website at www.medicare.gov

  3. Contact your local Medicare office

  4. All of the above


Correct Option: D
Explanation:

You can report Medicare fraud by calling the Medicare Fraud Hotline at 1-800-MEDICARE (1-800-633-4227), visiting the Medicare website at www.medicare.gov, or contacting your local Medicare office.

How can I report Medicaid fraud?

  1. Call the Medicaid Fraud Hotline at 1-800-HHS-TIPS (1-800-447-8477)

  2. Visit the Medicaid website at www.medicaid.gov

  3. Contact your local Medicaid office

  4. All of the above


Correct Option: D
Explanation:

You can report Medicaid fraud by calling the Medicaid Fraud Hotline at 1-800-HHS-TIPS (1-800-447-8477), visiting the Medicaid website at www.medicaid.gov, or contacting your local Medicaid office.

What is the False Claims Act?

  1. A federal law that prohibits fraud against the government

  2. A state law that prohibits fraud against the government

  3. A federal law that prohibits fraud against private companies

  4. A state law that prohibits fraud against private companies


Correct Option: A
Explanation:

The False Claims Act is a federal law that prohibits fraud against the government. It allows private individuals to file lawsuits on behalf of the government to recover damages caused by fraud.

What is the Stark Law?

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

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

  3. A federal law that prohibits hospitals from referring patients to physicians in which they have a financial interest

  4. A state law that prohibits hospitals from referring patients to physicians in which they have a financial interest


Correct Option: A
Explanation:

The Stark Law is a federal law that prohibits physicians from referring patients to entities in which they have a financial interest. It is designed to prevent conflicts of interest and to ensure that patients are referred to the best possible care, regardless of the financial interests of the physician.

What is the Anti-Kickback Statute?

  1. A federal law that prohibits the exchange of money or other things of value for referrals of patients

  2. A state law that prohibits the exchange of money or other things of value for referrals of patients

  3. A federal law that prohibits the exchange of money or other things of value for referrals of goods or services

  4. A state law that prohibits the exchange of money or other things of value for referrals of goods or services


Correct Option: A
Explanation:

The Anti-Kickback Statute is a federal law that prohibits the exchange of money or other things of value for referrals of patients. It is designed to prevent conflicts of interest and to ensure that patients are referred to the best possible care, regardless of the financial interests of the referrer.

What is the role of the Office of Inspector General (OIG) in combating Medicare and Medicaid fraud?

  1. To investigate and prosecute Medicare and Medicaid fraud

  2. To develop and implement policies to prevent Medicare and Medicaid fraud

  3. To educate the public about Medicare and Medicaid fraud

  4. All of the above


Correct Option: D
Explanation:

The Office of Inspector General (OIG) is responsible for investigating and prosecuting Medicare and Medicaid fraud, developing and implementing policies to prevent Medicare and Medicaid fraud, and educating the public about Medicare and Medicaid fraud.

What is the role of the Centers for Medicare & Medicaid Services (CMS) in combating Medicare and Medicaid fraud?

  1. To investigate and prosecute Medicare and Medicaid fraud

  2. To develop and implement policies to prevent Medicare and Medicaid fraud

  3. To educate the public about Medicare and Medicaid fraud

  4. All of the above


Correct Option: B
Explanation:

The Centers for Medicare & Medicaid Services (CMS) is responsible for developing and implementing policies to prevent Medicare and Medicaid fraud. CMS also works with the OIG to investigate and prosecute Medicare and Medicaid fraud.

- Hide questions