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100% Pass ACFE - Updated CFE-Financial-Transactions-and-Fraud-Schemes - Review Certified Fraud Examiner - Financial Transactions and Fraud Schemes Exam Guide

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ACFE Certified Fraud Examiner - Financial Transactions and Fraud Schemes Exam Sample Questions (Q84-Q89):

NEW QUESTION # 84
The most common method of detection in corruption cases is:

A. By accident
B. Internal audits
C. Internal controls
D. Tips

Answer: D

NEW QUESTION # 85
Which of the following scenarios is the MOST ACCURATE example of insurer health care fraud?

A. To obtain regulatory approval for increasing its rates, the insurance company submits inflated cost data for review.
B. Upon identifying that a claimant has provided incomplete information, the insurance company refuses to pay a claim.
C. While acting as an intermediary for a government health care program, the insurance company verifies provider claims before billing the government for them.
D. After negotiating discounts with its medical providers, the insurance company provides the negotiated rate to its consumers instead of the original amount.

Answer: D

NEW QUESTION # 86
Which of the following scenarios is an example of upcoding?

A. Dr. Catz spends 15 minutes with a patient. She later submits a bill to the patient's insurance company using a code that corresponds to an office visit lasting 60 minutes.
B. Steven receives medical services prior to his new insurance going into effect. Before submitting the claim, he changes the service date on his bill so that it will be covered by insurance.
C. Dr. Smith performed a hysterectomy on Roberta. Dr. Smith submits an insurance claim using three procedure codes instead of the single code normally used for a hysterectomy.
D. Hope is diagnosed with an ear infection. Hope's doctor writes her a prescription for a name brand medication instead of prescribing a less expensive generic medication.

Answer: A

NEW QUESTION # 87
In which phase of competitive bidding process, fraudsters attempt to influence the selection of a contractor by restricting the pool of competitors from whom bids are sought?

A. Submission
B. False specification
C. Need recognition
D. Solicitation

Answer: D

NEW QUESTION # 88
Bob, a purchasing agent for Gallenkamp, directed a portion of Gallenkamp's business to Oak Company. In exchange for receiving additional business, Oak Company's sales manager agreed to pay Bob a percentage of the extra profits. Which of the following BEST describes the type of corruption scheme in which Bob engaged?

A. Economic extortion scheme
B. Illegal gratuity scheme
C. Diversion scheme
D. Kickback scheme

Answer: D

NEW QUESTION # 89
......

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Sam Davis Sam Davis

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