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Exam CFE - Financial Transactions and Fraud Schemes All Questions

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Exam CFE - Financial Transactions and Fraud Schemes topic 1 question 37 discussion

Actual exam question from ACFE's CFE - Financial Transactions and Fraud Schemes
Question #: 37
Topic #: 1
[All CFE - Financial Transactions and Fraud Schemes Questions]

To detect health care provider fraud, a fraud examiner should be alert for which of the following red flags?

  • A. Consistently low percentage of coding outliers present
  • B. Unusually low profits compared to similar businesses in the same region
  • C. Lack of supporting documentation for claims under review
  • D. Details in supporting documentation that match the health care claim
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Suggested Answer: C 🗳️
by AML_1234 at Dec. 12, 2024, 8:15 a.m.

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AML_1234
1 month ago
Selected Answer: C
Lack of supporting documentation
upvoted 1 times
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