IHSS Fraud Prevention and Reporting 4

Question 1

An IHSS provider is offered cash by a recipient's family member in exchange for falsifying care records. The provider should:

Accepted Answer

Refuse and report the offer to the county IHSS office

Answer

Accepting any inducement to falsify IHSS records is fraud; providers must refuse and report such offers immediately.

Question 2

Which of the following is an example of recipient-directed fraud in the IHSS program?

Accepted Answer

A recipient instructing their provider to bill for hours the provider spent running personal errands for the recipient

Answer

Billing for time spent on tasks not authorized by IHSS, such as personal errands unrelated to the care plan, is fraudulent even if the recipient directs it.

Question 3

What is the purpose of an IHSS fraud hotline?

Accepted Answer

To allow anyone to report suspected fraud, waste, or abuse in the IHSS program anonymously

Answer

IHSS fraud hotlines give the public, providers, and recipients a confidential way to report suspected misconduct without fear of retaliation.

Question 4

A provider works for two different IHSS recipients and accidentally submits one recipient's timesheet under the other's case number. What should the provider do?

Accepted Answer

Immediately contact the county to report and correct the error

Answer

Timesheets submitted under incorrect case numbers must be corrected promptly through the county office to avoid overpayments or fraud findings.

Question 5

Which type of IHSS fraud involves a provider claiming to have provided services during hours they were verifiably elsewhere?

Accepted Answer

Time-and-place fraud

Answer

Time-and-place fraud occurs when a provider claims to have been providing care at a time or location records show they could not have been there.

(IHSS) In-Home Supportive Services certified provider Practice Test

(IHSS) In-Home Supportive Services certified provider Practice Test

IHSS Fraud Prevention and Reporting 4