Annual Healthcare Fraud & Abuse Education 2020 Crossword

Medicare fraud includes submitting a false insurance __________to obtain a Federal health care payment for which no entitlement would otherwise exist. (Page 5)
An example of Medicare fraud is knowingly billing for services at a level of complexity __________than the services actually provided or documented. (Page 5)
Abuse describes practices that may result in _____________costs to the Medicare program. (Page 8)
The Federal civil ______Claims Act is also known as the FCA and protects the government form being overcharged or sold substandard goods or services. (Page 7)
The Anti-___________Statute ,also known as the AKS, makes it a crime to offer, pay, solicit, or receive any remuneration to induce or reward referrals. (Pge 8)
The Physician Self-Referral Law is also known as the ________Law and prohibits a physician from referring patients for certain health services to an entity with which the physician or member of the physician's immediate family has a financial relationship, unless a Safe Harbor exception applies. (Page 8)
The __________Statute allows the government to exclude providers and other entities convicted of a variety of offenses from participation in all Federal health care programs. (Page 9)
Submitting false or _________claims to a Federal halth care program can result in a provider being placed on the Exclusion list. (Page 9)
An example of an improper insurance claim would be using billing codes that reflect a more severe illness than actually existed. (Page 11)
Good record keeping and medical ___________helps address any challenges raised about the integrity of insurance claims. (Page 11)