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Medicaid Integrity Quiz
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1. People receiving services have a right to know if the information in their Electronic Health Record has been breached
1 point
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2. Anyone can bring a false claims suit if they suspect a provider is committing fraud.
1 point
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3. Staff who file a suit under the Federal/MI False Claims Act cannot be charged with fraud if the staff reporting it took part in the accusation or made false accusations.
1 point
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4.  Your employer cannot retaliate against you/your job for reporting fraud or participating in an investigation/legal process
1 point
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5. It is ok to for providers to give each other rewards/money for making or getting consumer referrals.
1 point
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6. If a provider/person is found guilty of fraud, they have to pay financial penalties/fines and may go to prison.
1 point
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7.  Medicaid Integrity means making sure Medicaid monies are being spent the way they are supposed to with the services we provide to consumers
1 point
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8. Billing for a service that you didn’t document could potentially be fraud.
1 point
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9. Providing a service that’s not medically necessary could potentially be fraud
1 point
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10. Not having a current treatment plan/individual plan of service while still providing services could potentially be fraud.
1 point
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11. Being reimbursed for expenses (such as mileage traveled in your own car) that are related to your job function could be fraud.
1 point
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12. If you suspect any type of fraud you must report it right away to the OIG, local Compliance liaisons or the Compliance Officer *
1 point
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