Questions: Assessment TEST STATUS: In Progress QUESTIONS: 5 Question 1 of 5 Select the best answer: A healthcare facility sends a claim which they know is false to the government for payment. The claim is for services they did not give. Which law did the facility break? Anti-Kickback Statute (AKS) Stark Law False Claims Act Exclusion Statute Question 2 of 5 Select the best answer: A healthcare worker knows that someone in their facility is charging people for services they did not receive. What should they do? Call the compliance hotline. Tell a friend. Report this to the police. File an incident report.

The answer is False Claims Act.

The Anti-Kickback Statute is a federal law that prohibits the exchange of anything of value to induce or reward the referral of federal healthcare program business. It is not directly related to submitting false claims for services not provided.

The Stark Law, also known as the Physician Self-Referral Law, prohibits physicians from referring patients to receive "designated health services" payable by Medicare or Medicaid from entities with which the physician or an immediate family member has a financial relationship, unless an exception applies. It does not address false claims.

The False Claims Act is a federal law that imposes liability on individuals and companies who defraud governmental programs. It is specifically designed to combat fraud against the government, including submitting false claims for payment.

The Exclusion Statute authorizes the exclusion of individuals and entities from participation in federal healthcare programs for engaging in certain types of misconduct, but it does not specifically address the submission of false claims.

The answer is Call the compliance hotline.

This is the most appropriate action. Healthcare facilities typically have a compliance hotline for reporting unethical or illegal activities. This ensures that the issue is addressed internally and appropriately.

Telling a friend is not a professional or effective way to address the issue. It does not ensure that the problem will be resolved.

While reporting to the police might seem appropriate, it is usually better to first report internally through the proper channels, such as the compliance hotline, unless there is an immediate threat to safety.

Filing an incident report is a formal way to document an issue, but it may not be the most direct way to address fraudulent billing practices. The compliance hotline is specifically designed for such issues.