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Fraud, Waste and Abuse
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Email *
Name *
Which branch office of Heartland PCA do you work for? *
What does FWA stand for? *
1 point
Fraud is the intentional act of deception, misrepresentation or concealment in order to gain something of value. *
1 point
Which of the following are examples of fraud? *
1 point
It is okay for prescriber's (doctors, for example) to write prescriptions for medications that are not medically necessary? *
1 point
Doctor shopping-visiting different doctors to obtain multiple prescriptions-is an example of FWA. *
1 point
Using somebody else's ID card to obtain prescriptions, services, doctor visits, etc. is not an example of FWA. *
1 point
Examples of billing fraud include: *
1 point
All of the following are true for reporting suspected or actual FWA, except: *
1 point
We are all responsible for compliance and ensuring that we follow laws and regulations that govern our work. *
1 point
Match up the definition with the correct law it represents: *
3 points
Makes it a crime to knowingly & willfully offer, pay, solicit, or receive, directly or indirectly, anything of value to induce or reward referrals of items or services reimbursable by a Federal health care program
Prohibits physicians from referring Medicare patients to an entity with which the physician or physician's immediate family member has a financial relationship
Prohibits any person from knowingly presenting or causing fraudulent claim for payment
False Claims Act
Anti-Kickback Statute
Self-Referral Prohibition Statute
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