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1. Which of the following statements is MOST ACCURATE?
A) Government and public sector organizations have more autonomy in how they practice fraud detection than private sector organizations.
B) Government and public sector organizations might need to conduct and respond to fraud risk assessments more frequently than private sector organizations.
C) Government and public sector organizations can usually accept more fraud risk than private sector organizations because there are no shareholders.
D) Government and public sector organizations are required to reprioritize areas of focus for fraud detection less frequently than private sector organizations.
2. An analytical review reveals that XYZ Company's cost of goods sold has increased by 75% in the last year.
However, its sales revenues only increased by 25% during the same period. This situation MOST LIKELY indicates which of the following?
A) There were fewer sales this year compared to last year.
B) The company started recording warranty liabilities.
C) Inventory has been depleted by theft.
D) There were more sales returns this year than in the prior year.
3. The most basic skimming scheme occurs when:
A) An employee buys goods or services from a stakeholder, drops the stakeholder's payment and makes record of the purchase too.
B) An employee buys goods or services from a customer, drops the customer's payment, but makes no record of the purchase.
C) An employee sells goods or services to a stakeholder, collects the stakeholder's payment and makes record of the sale too.
D) An employee sells goods or services to a customer, collects the customer's payment, but makes no record of the sale.
4. 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) 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.
C) 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.
D) 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.
5. A process by which several bidders conspire to split contracts up and ensure that each gets a certain amount of work is called:
A) Fictitious bidding
B) Bid log
C) Bid opening
D) Bid pooling
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: C | Question # 3 Answer: D | Question # 4 Answer: A | Question # 5 Answer: D |
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