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NEW QUESTION 48
Which of the following situations MOST LIKELY constitutes health care fraud committed by an insurance company?

  • A. Instituting procedures to detect fraudulent claims when acting as an intermediary for a government health care program
  • B. Negotiating discounts with medical providers and then failing to apply those discounts toward consumers' medical bills
  • C. Failing to pay a claim because the claim is missing required information
  • D. Submitting cost data to health care regulators to justify rate increases

Answer: B

 

NEW QUESTION 49
__________ are the amounts which are owned to other entities:

  • A. Assets
  • B. Expenses
  • C. Supplies
  • D. Liabilities

Answer: D

 

NEW QUESTION 50
Which of the following is FALSE concerning methods corporate spies generally use to steal information from other organizations?

  • A. Spies often gain direct access to a target company by obtaining employment as a security officer or a member of the janitorial crew.
  • B. Spies often create counterfeit employee badges to gain entrance into a target company.
  • C. When spies use social engineering, they manipulate people into handing over secret information through the use of trickery, persuasion, threats, or cajolery.
  • D. When spies use technical surveillance to obtain information about target companies, they gather documentary evidence that can be found through open sources.

Answer: B

 

NEW QUESTION 51
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