National Association of Boards of Long Term Care Administrator (NAB) CORE Practice Exam

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The False Claims Act primarily aims to prevent which of the following?

  1. Discrimination in employment practices

  2. Fraudulent billing for services

  3. Inappropriate behavior by healthcare workers

  4. Negligence in patient care

The correct answer is: Fraudulent billing for services

The False Claims Act primarily aims to prevent fraudulent billing for services. This legislation is crucial in healthcare and other sectors, as it seeks to protect government programs and the taxpayers from fraud. Under the Act, individuals or entities who knowingly submit false claims for payment to government programs, such as Medicare or Medicaid, can be held liable. This includes instances of billing for services that were not provided, billing for medically unnecessary services, or inflating costs. By specifically targeting fraudulent billing practices, the False Claims Act helps to ensure that healthcare providers adhere to ethical billing practices and that federal funds are spent appropriately. This is vital for maintaining the integrity of healthcare programs and ensuring that resources are available for those in need.