Which of the following is an example of a false claim violation?

Explore the Healthcare Compliance Test. Enhance your learning with flashcards, multiple choice questions, detailed hints, and explanations. Get expertly prepared for your exam today!

Billing for services not performed constitutes a false claim violation because it involves submitting inaccurate information to healthcare payers, such as Medicare or Medicaid. This act can mislead the payer into believing that the provider delivered services that were never actually provided, resulting in improper payments. Such behavior undermines the integrity of the healthcare system and can lead to significant legal consequences, including penalties and fines.

In contrast, submitting accurate claims for routine services and accurately reporting specialty skills represent compliant practices that appropriately reflect the services delivered. Offering consultation services authorized by Medicaid demonstrates adherence to regulations and proper authorization. Therefore, these actions do not constitute violations, as they ensure the honesty and accuracy of the claims being submitted.

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