Fraud, Waste & Abuse Test

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CareCo Medical began in 2016 as a response to a need for quality and compassionate home health care in the southeastern region of Connecticut. Since that time, the company has grown in size and reputation. In 2018, CareCo Medical embarked on a company-wide restructuring and rebranding effort. This effort was designed to maximize the company’s resources in the face of a changing home health care industry, while at the same time making sure that the organization remains focused on its core values of customized and compassionate care. While the name and look of the company have changed, our commitment to the good health and happiness of our patients remains strong.

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p. (860) 437-0238

1. Fraud includes which of the following? *

Ordering excessive diagnostic tests.

Hiring more employees than the agency needs.

accidental upcoding.

rounding up to the nearest hour on the claim from 30 min to include an additional two units of time.

2.The Federal False Claims Act (FCA) requires that a person knowingly intend to defraud.

True

False

3. Providing patients with $50 grocery store cards to accept home health services would be prohibited under which of the following federal laws? *

Federal False Claims Act

Stark Law

Criminal Health Care Fraud Statute

Anti-Kickback Statute (AKS)

4. Which of the following represents abuse? *

Billing for three visits in the prior week since the physician ordered three visits, even though the patient only received 2.

Including all the supplies ordered for the patient on the claim, even though they were not given to the patient and the nurse still has them in her trunk.

Assigning a primary code for wound care rather than aftercare to group the payment to the highest paying catergory, even though the surgical incision is closed and requires no care or supplies.

5. Suspected fraud, abuse or waste should first be reported to:

The FBI

The OIG

The agency compliance officer

The patient

None of the above.

398 Willetts Ave Waterford, CT 06385

p. (860) 437-0238

f. (860) 446 -6678

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