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Fraud Quiz

This is an online quiz of 13 questions. Each question has one correct answer. Good luck!

  1. Healthcare fraud is an intentional act of deception in order to receive healthcare benefits which, for whatever reason, would not ordinarily be covered.
    True
    False
  2. Health plan members, physicians and agents are equally likely to commit healthcare fraud.
    True
    False
  3. Healthcare fraud accounts for up to $100 million in losses annually.
    True
    False
  4. Intentionally giving false information on a claim is not fraud if a service, any service, was performed.
    True
    False
  5. Changing the dollar amount on a bill or receipt prior to submitting for payment is an alteration, and constitutes fraud.
    True
    False
  6. An accident purposely committed in order to receive benefits of any coverage is healthcare fraud.
    True
    False
  7. A material misrepresentation occurs when an important fact is omitted from a document.
    True
    False
  8. A person who intentionally sends a forged or altered document through the U.S. mail or fax machine has committed a crime.
    True
    False
  9. What does the term "clean sheeting" mean?
    Washing bed sheets in bleach
    Obtaining life insurance policies by hiding life threatening illnesses.
    Altering medical records
  10. An application for coverage purposely signed and dated to conceal an illness or injury in order to receive coverage can be considered a fraudulent application.
    True
    False
  11. Placing an individual who is not qualified as a dependent on a health plan is not a fraud.
    True
    False
  12. Generally, an individual who is not a legal employee or a dependent of an employee cannot be placed on an employer group plan.
    True
    False
  13. An unrelated person cannot pay the health plan dues/premium on behalf of the covered person.
    True
    False