CPB Certified Professional Biller Certification Practice Exam

What does FCA represent in the context of legal regulations?

1. Federal Compliance Act

2. False Claims Act

3. Financial Claims Application

4. Federal Credit Agency

The correct answer is: False Claims Act

B is the correct answer as it refers to the False Claims Act, which is a key piece of legislation in the context of legal regulations, particularly in healthcare billing and fraud prevention. The False Claims Act allows the government to take legal action against individuals or entities that defraud federal programs, including Medicare and Medicaid. This act is significant as it aims to protect federal funds by penalizing fraudulent claims, and it encourages whistleblowers to report misconduct through provisions for qui tam lawsuits. The other options presented, while they may sound plausible, do not align with the recognized legal terminology related to fraud and compliance. For example, while “Federal Compliance Act” might suggest a framework addressing compliance, it lacks the specificity and recognized authority of the False Claims Act. Similarly, "Financial Claims Application" and "Federal Credit Agency" do not relate to the legal context around billing and fraud prevention in the same direct manner. Thus, the focus on the False Claims Act highlights its critical role in maintaining the integrity of government-funded healthcare programs.