Free PDF Quiz 2026 CFE-Fraud-Schemes-and-Financial-Crimes: Certified Fraud Examiner -Fraud Schemes and Financial Crimes Authoritative Learning Materials

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ACFE CFE-Fraud-Schemes-and-Financial-Crimes Exam Syllabus Topics:

SectionObjectives
Fraud Schemes- Fraudulent Disbursements
  • 1. Billing schemes
    • 2. Billing shell companies
      • 3. Check tampering
        - Asset Misappropriation Schemes
        • 1. Cash theft and skimming
          • 2. Expense reimbursement fraud
            • 3. Inventory and asset theft
              • 4. Payroll fraud
                Financial Crimes- Money Laundering
                • 1. Integration stage
                  • 2. Layering stage
                    • 3. Placement stage
                      - Corruption Schemes
                      • 1. Bribery
                        • 2. Kickbacks
                          • 3. Conflicts of interest
                            - Financial Statement Fraud
                            • 1. Revenue manipulation
                              • 2. Asset overstatement
                                • 3. Expense understatement

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                                  Exam CFE-Fraud-Schemes-and-Financial-Crimes Pass Guide, Dumps CFE-Fraud-Schemes-and-Financial-Crimes Discount

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                                  ACFE Certified Fraud Examiner -Fraud Schemes and Financial Crimes Sample Questions (Q267-Q272):

                                  NEW QUESTION # 267
                                  To detect fraud committed by a health care provider, a fraud examiner should look for which of the following red flags?

                                  Answer: B

                                  Explanation:
                                  Detailed Explanation:
                                  * Rationale for Correct Answer: A high percentage of coding outliers (e.g., using higher-paying diagnosis or procedure codes more often than peers) is a red flag of upcoding or fraudulent billing. This signals possible abuse of reimbursement systems.
                                  * Analysis of Incorrect Options:
                                  * A - Fewer claims would not suggest fraud.
                                  * C - Matching documentation is expected, not suspicious.
                                  * D - Low profits may indicate inefficiency, not fraud.
                                  * Key Concept: Health care fraud detection through data analytics and coding anomalies.
                                  Reference: ACFE Manual, Financial Transactions - Health Care Fraud .


                                  NEW QUESTION # 268
                                  Which of the following is a method of identity theft prevention that is recommended for businesses?

                                  Answer: A

                                  Explanation:
                                  Detailed Explanation:
                                  * Rationale for Correct Answer: Best practice is to minimize collection of sensitive data such as government identification numbers, only obtaining them when legally required. This reduces the risk of identity theft exposure in case of a breach.
                                  * Analysis of Incorrect Options:
                                  * A. Use government IDs as employee IDs - Increases risk of exposure, not prevention.
                                  * B. Audit information practices only when required - Insufficient; audits should be regular and proactive.
                                  * C. Use encryption only for external transfers - Encryption should always be applied, not selectively.
                                  * Key Concept: Identity theft prevention for businesses .
                                  Reference: ACFE Fraud Examiners Manual (2020) , Corruption: Identity Theft Prevention Practices .


                                  NEW QUESTION # 269
                                  Which of the following statements regarding using front businesses as a method of laundering money is MOST ACCURATE?

                                  Answer: C

                                  Explanation:
                                  The correct answer is D. Front businesses are attractive for money laundering because they allow illegal proceeds to be mixed with legitimate revenue, especially where cash sales are common and expenses are variable. Bars, restaurants, nightclubs, and similar businesses can make it difficult to reconcile actual customer activity with reported revenue and operating costs. This makes it easier to overstate revenues, inflate expenses, or insert illicit funds into the business records. Option A is inaccurate because money launderers might pay taxes on falsely reported income to make the funds appear legitimate. Option B is incorrect because a front may show high income despite low visible customer activity. Option C is too narrow and inaccurate because these businesses often involve variable purchases and pricing.


                                  NEW QUESTION # 270
                                  __________ can be defined as conduct detrimental to the organization and to the employee.

                                  Answer: C

                                  Explanation:
                                  Detailed Explanation:
                                  * Rationale for Correct Answer: The term Employee deviance refers to conduct that is harmful both to the organization and to the employee engaging in it. This encompasses a broad set of behaviors, including fraud, theft, abuse, and violations of organizational norms. While employee theft and fraud are subsets, deviance is the umbrella concept.
                                  * Analysis of Incorrect Options:
                                  * B. Employee theft - Specific to stealing from the employer, not the broader definition of detrimental conduct.
                                  * C. Employee fraud - Specific to deceptive practices, not all deviant acts.
                                  * D. All of the above - Incorrect, since the definition most accurately matches "Employee deviance."
                                  * Key Concept: Employee Deviance - broader behavioral category that includes fraud, theft, and other misconduct.
                                  Reference: ACFE Fraud Examiners Manual (2020 International Edition) , Fraud Theory - Employee Deviance and Occupational Fraud .


                                  NEW QUESTION # 271
                                  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?

                                  Answer: C

                                  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 # 272
                                  ......

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