Which of the Following Form of Fraud Occurs When a Doctor

question 1

Multiple Choice

Which of the following form of fraud occurs when a doctor or healthcare professional bills Medicare/Medicaid for a service that was not provided?

• A) unbundling
• B) misrepresenting services
• C) upcoding
• D) phantom treatment

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Definitions:

Inconsistencies

Describes situations where there is a lack of alignment or congruence between elements or behaviors within an organization.

Project

A planned set of interrelated tasks to be executed over a fixed period and within certain cost and other limitations.

Cheerfulness

A state of being noticeably happy and optimistic.

Contentment

A state of happiness and satisfaction.