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Note! Following CFE-Financial-Transactions-and-Fraud-Schemes Exam is Retired now. Please select the alternative replacement for your Exam Certification. The new exam code is CFE-Fraud-Schemes-and-Financial-Crimes

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Certified Fraud Examiner - Financial Transactions and Fraud Schemes Exam Questions and Answers

Question 1

Which of the following search is used for unusually high incidence of returns and allowances scheme?

Options:

A.

Allowances by vendors

B.

Disposals of allowances than reorders

C.

Returns and allowances

D.

None of the above

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Question 2

Which of the following is NOT the reason why senior management will overstate business statements?

Options:

A.

Comply with debt covenants

B.

Meet personal performance criteria

C.

Trigger performance-related compensation

D.

Show a pattern of growth to support sale of a business

Question 3

Which of the following scenarios is an example of upcoding?

Options:

A.

Hope is diagnosed with an ear infection. Hope's doctor writes her a prescription for a name brand medication instead of prescribing a less expensive generic medication.

B.

Dr. Smith performed a hysterectomy on Roberta. Dr. Smith submits an insurance claim using three procedure codes instead of the single code normally used for a hysterectomy.

C.

Dr. Catz spends 15 minutes with a patient. She later submits a bill to the patient's insurance company using a code that corresponds to an office visit lasting 60 minutes.

D.

Steven receives medical services prior to his new insurance going into effect. Before submitting the claim, he changes the service date on his bill so that it will be covered by insurance.