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CFE-Financial-Transactions-and-Fraud-Schemes Real Exam Answers, Valid Test CFE-Financial-Transactions-and-Fraud-Schemes Format

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ACFE Certified Fraud Examiner - Financial Transactions and Fraud Schemes Exam Sample Questions (Q28-Q33):

NEW QUESTION # 28
Mario performs surgery on a patient to replace a bone. The surgery should be billed using one code, but Mario bills the surgery using three codes (one for the entire surgery, one for the removal of the bone, and another for the insertion of the artificial bone), which increases the cost. Which of the following BEST describes Mario's scheme?

A. Upcoding
B. Fictitious services
C. False diagnosis
D. Unbundling

Answer: D

Explanation:
Detailed Explanation:
* Rationale for Correct Answer:This is unbundling, where services that should be billed under a single comprehensive code are split into multiple components to inflate reimbursement.
* Analysis of Incorrect Options:
* A. Fictitious services - Charging for services not performed.
* B. False diagnosis - Fabricating diagnoses to justify billing.
* C. Upcoding - Billing for more expensive services than provided.
* Key Concept: Health care billing fraud - unbundling.
Reference: ACFE Fraud Examiners Manual (2020), Fraudulent Disbursements: Health Care Billing Schemes
.

NEW QUESTION # 29
Which of the following is a method of identity theft prevention that is recommended for individuals?

A. Use biometric authentication when it is available.
B. Only use email to send personal information when contacting reputable organizations.
C. Do not reuse passwords for more than two accounts.
D. Install security updates and patches for personal computers annually.

Answer: A

NEW QUESTION # 30
A fraudster poses as ABC Organization's chief executive officer (CEO) and sends an email to an employee requesting that company funds be transferred to an account that the fraudster owns. This is an example of which of the following types of fraud schemes?

A. Executive email attack
B. Electronic piggybacking
C. Reverse social engineering
D. Business email compromise

Answer: D

NEW QUESTION # 31
Which of the following is FALSE concerning methods that corporate spies generally use to steal information from other organizations?

A. Spies often gain direct access to a target company by obtaining employment as a security officer or a member of the maintenance staff.
B. Spies often create counterfeit employee badges to gain entry into a target company.
C. Spies use technical surveillance to obtain nondocumentary information about target companies that cannot be found through open sources.
D. Spies primarily use social engineering to search for confidential information on employee desks or workstations at the target company.

Answer: D

NEW QUESTION # 32
Which of the following is NOT a distinguishing characteristic of a Ponzi scheme?

A. Promoters of Ponzi schemes engage in minimal amounts of valid commerce or investments.
B. Participants are paid based on the number of new investors that they recruit.
C. Promoters of Ponzi schemes promise investors uncommonly high returns.
D. Participants believe that they are making a legitimate investment.

Answer: B

NEW QUESTION # 33
......

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