Chapter 1 Questions (1-15)

Front 1

Health care facilities that are exempt from fraud investigators include

Back 1

None, all facilities are subject to the law

Front 2

If found guilty of fraud, an individual may be ordered to

Back 2

1. Go to jail

2. Pay restitution

3. Pay fines and penalties

**All of the above**

Front 3

Virtually every law includes the phrase

Back 3

"Knowns or should know"

Front 4

Compliance in a health care organization is the responsibilitynof

Back 4

All employees, volunteers, and interns

Front 5

A formal compliance program may

Back 5

Leases fines and penalties

Front 6

The Partnership Plan includes state auditors working with the

Back 6

OIG

Office of the Inspector General

Front 7

SMFCU are delegated to investigate providers of

Back 7

Medicaid services

SMFCU: State Medicaid Fraud Control Units

Front 8

The National Procurement Fraud Task Force Procrustes alleged violators of

Back 8

Embezzlement

Front 9

Anyone falsifying health care information is subject to

Back 9

1. Possible jail time

2. Possible monetary fines and penalties

3. Exclusion from program participation

**All of the above**

Front 10

A law is a(n)

Back 10

Act of obeying

Front 11

Health Information professionals are responsible for

Back 11

Following the law

Front 12

Restitution is the order to

Back 12

Pay back money received fraudulently

Front 13

Physician's offices can be investigated by agents from

Back 13

1. OIG

2. FBI

3. IRS

**All of the above**

Front 14

A Qui Tam lawsuit is also known as the

Back 14

Whistleblower stature