ATI – Health Care Fraud, Waste, & Abuse Prevention Pre-Test PDF

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The questions from the ATI Health Care Fraud, Waste, and Abuse Prevention lesson...

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ATI – Health Care Fraud, Waste, & Abuse Prevention Pre-Test 1. According to recent estimates, which of the following sources of health care waste has had the largest financial impact? a. Unwarranted use of medical resources or services 2. The Health Insurance Portability and Accountability Act (HIPAA) mandates that health care entities implemented which of the following strategies to help reduce the Medicare fee-for-service error rate and prevent payment for potentially fraudulent activity? a. Electronic health records 3. Which of the following pieces of legislation mandated the establishment of a joint Health Care Fraud and Abuse Control (HCFAC) program? a. Health Insurance Portability and Accountability Act (HIPAA) 4. A nurse overhears a provider refer a client who has Medicare to a durable medical equipment company owned by the provider’s fatherin-law. The nurse should identify that which of the following statutes has been violated? a. Stark Law 5. Which of the following is an example of a best practice strategy to prevent fraud, waste, and abuse? a. Establish procedures for maintaining and distributing medication samples. 6. An employee in a providers office suspects fraudulent activity. Which of the following actions should the employee take after contacting the office of Inspector General (OIG) hotline to report the fraudulent activity? (select all that apply) a. Stop filing the suspicious bills and claims b. Pursue knowledgeable legal counsel c. Disengage professionally with the suspected perpetrator d. Report and return overpayments 7. What is the following agencies of the U.S. government has the authority to exclude individuals and entities from participating in federal health care programs? a. Office of Inspector General (OIG)...