QUESTION 5 Select the types of fraudulent behavior by health care providers most often targeted by False Claims Act enforcement officials. (More than one answer is correct.) O Services not delivered O Non-existent patients O Anti-kickback violations O Up-coding of service claims O Unbundling related services Medically "unnecessary" services O Inappropriate physician investments or compensation arrangements O Falsified hospital cost reports O Red-liningQUESTION 6 The money budgeted by Congress for enforcement of the False Claims Act and other federal fraud laws has been declining for the last decade. 0 True O False QUESTION 7 Three types of punishment may be assessed for a violation of the False Claims Act. Select the three types of punishment. [3 Temporary suspension or permanent disbarment from participation in federal health programs (Medicare, Medicaid). C] Federal prison time for the Chief Executive Ofcer. [:I Payment of damages that the violation has caused the federal government. C] Payment of nes or penalties based on the number of false claims led. [:I Inability to hire new employees. QUESTION 8 The False Claims Act applies only to individuals or organizations acting alone. It does not cover several of them acting together. 0 True 0 False QUESTION 9 Which of the following persons or entities are capable of a False Claim Act violation? Select all that are correct. C] Physician [:l Physician practice C] Patient [:l Teaching hospital C] Nursing home [I Drug company QUESTION 10 Violations of the Physician Self-Referral Law may result in criminal and civil liability. 0 True O False QUESTION 4 The key terms in understanding the prohibition in the Federal Claims Act against submitting false claims are (Select all correct answers): [:I person E] claim [:I false E] fraudulent [:I liable C] approval [:I knowingly QUESTION 3 Which of the following is NOT a source of information leading to the initiation of a health care fraud case? 0 Law enforcement task forces O State and local fraud investigators O Health care patients 0 Employees of the person or entity oommitting fraud 0 Federal Bureau of Investigation (FBI) Researchers at major universities 0 Health care professionals (nurses and doctors} O Whistleblowers