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1. To detect fraud committed by a health care provider, a fraud examiner should look for which of the following red flags?
A) The provider can produce a large amount of supporting documentation for claims under review.
B) The provider maintains a consistently low percentage of coding outliers in its documentation.
C) The provider creates medical records for a patient during or soon after the patient's visit.
D) The provider has submitted a higher-than-average number of claims for reimbursement.
2. Malcolm is a manager at a financial institution. To safeguard the bank and its customers from electronic funds transfer (EFT) fraud, Malcolm is implementing preventive measures. What is one measure Malcolm can take to prevent EFT fraud?
A) Send online banking portal PINs, usernames, and passwords in a single communication to ensure the information is not lost or intercepted.
B) Ensure that the same employee handles both PIN issuance and access device information to limit the number of people accessing this information.
C) Employ multifactor authentication to verify transfers via electronic bill presentment and payment (EBPP) or person-to-person (P2P) systems.
D) Send electronic communications containing usernames in an unencrypted format to ensure that the intended recipient can access them.
3. Which of the following measures would be MOST EFFECTIVE in helping a financial institution prevent new account fraud?
A) Contact third-party credit reporting agencies and customer identification services to verify the customer' s identity.
B) Send a communication to all of the customer's previous residences to verify that they lived at those locations.
C) Question when customers use small cash deposits to open an account with the financial institution.
D) Require that the customer's employer submit a letter of recommendation to the financial institution.
4. ___________ and __________ are used to increase (or decrease) the equity account.
A) Journal Entries & Credit
B) Journal Entries & Transactions
C) None of all
D) Journal Entries & Debit
5. The prime targets for skimming schemes, which are hard to monitor and predict such as late fees and parking fees, are:
A) Internal audits
B) Recorded sales
C) Register manipulations
D) Revenue sources
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: C | Question # 3 Answer: A | Question # 4 Answer: A | Question # 5 Answer: D |
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