Certified Medical Administrative Assistants (CMAA) Practice Exam

What type of services does the Civil Monetary Penalties Law target?

1. Private health insurance fraud only

2. Medicare and Medicaid fraud

3. Employer-sponsored plan fraud only

4. General healthcare fraud claims

The correct answer is: Medicare and Medicaid fraud

The Civil Monetary Penalties Law specifically targets fraudulent activities related to Medicare and Medicaid programs. This legislation is designed to impose penalties on individuals and entities that engage in wrongful practices that affect these government-sponsored healthcare programs. The goal is to protect the integrity of federal health care programs by deterring fraud, waste, and abuse. The law allows for the imposition of monetary penalties on any person who presents or causes to be presented claims for payment for services that were not delivered or were not necessary, as well as for other forms of misconduct within these programs. By focusing on Medicare and Medicaid fraud, the Civil Monetary Penalties Law plays a crucial role in safeguarding the financial resources allocated to these essential services for vulnerable populations.