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| Section | Objectives |
|---|
| Topic 1: Fraud Schemes | - Asset Misappropriation Schemes
- 1. Payroll fraud
- 2. Inventory and asset theft
- 3. Cash theft and skimming
- 4. Expense reimbursement fraud
- Fraudulent Disbursements
- 1. Billing schemes
- 2. Check tampering
- 3. Billing shell companies
|
| Topic 2: Financial Crimes | - Corruption Schemes
- 1. Conflicts of interest
- 2. Kickbacks
- 3. Bribery
- Money Laundering
- 1. Layering stage
- 2. Integration stage
- 3. Placement stage
- Financial Statement Fraud
- 1. Expense understatement
- 2. Asset overstatement
- 3. Revenue manipulation
|
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ACFE Certified Fraud Examiner -Fraud Schemes and Financial Crimes Sample Questions (Q100-Q105):
NEW QUESTION # 100
Which of the following statements is TRUE regarding income statements?
- A. Gross profit is equal to revenues minus operating expenses.
- B. Gross revenue is the total amount of sales after all deductions are applied.
- C. Most companies present net sales as the first line item.
- D. Net profit is the difference between total sales and the cost of goods sold.
Answer: C
Explanation:
The correct answer is A. The income statement reports revenues and expenses for a period, and most companies present net sales or net service revenues as the first line item. Net sales means gross sales reduced by sales returns, allowances, refunds, or discounts. Option B is incorrect because gross profit is generally net sales minus cost of goods sold, not revenues minus operating expenses. Operating expenses are deducted after gross profit to help determine operating income. Option C incorrectly defines net profit; net profit reflects revenues minus all relevant expenses, not merely sales minus cost of goods sold. Option D is also incorrect because gross revenue is before deductions, while net sales are after deductions. The ACFE accounting materials explain these income statement relationships.
NEW QUESTION # 101
Which of the following scenarios is an example of upcoding?
- A. 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.
- B. 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.
- C. 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.
- D. 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.
Answer: A
Explanation:
Detailed Explanation:
* Rationale for Correct Answer: Upcoding occurs when a provider bills for a higher level of service than what was actually provided. Billing a 15-minute visit as a 60-minute visit is a classic upcoding scheme.
* Analysis of Incorrect Options:
* A. Name brand prescription - Not upcoding; this is prescribing choice, not billing fraud.
* B. Multiple codes instead of one - This is unbundling , not upcoding.
* D. Changing service date - This is falsifying service dates , not upcoding.
* Key Concept: Health care billing fraud - upcoding vs. unbundling.
Reference: ACFE Fraud Examiners Manual (2020) , Fraudulent Disbursements: Health Care Fraud .
NEW QUESTION # 102
The process of disguising illegal proceeds as legitimate proceeds that criminals have a right to possess and spend can BEST be described as:
- A. Concealment of assets
- B. Cross-border financing
- C. Money laundering
- D. Asset trafficking
Answer: C
Explanation:
The correct answer is A, money laundering. The ACFE material defines money laundering as the process by which criminals disguise illicit assets as legitimate assets that they have a right to possess and spend. It involves concealing the existence, nature, source, control, beneficial ownership, location, or disposition of property derived from criminal activity. Cross-border financing may be a feature of laundering, but it is not the overall process described. Asset trafficking is not the best ACFE classification for disguising criminal proceeds. Concealment of assets may occur in fraud or bankruptcy matters, but it is broader and does not specifically capture the laundering of illegal proceeds into apparently legitimate funds.
NEW QUESTION # 103
Which of the following is TRUE regarding accrual-basis accounting?
- A. Expenses are recorded in the accounting system when they are paid.
- B. Accrual-basis accounting is simpler to use than cash-basis accounting.
- C. Revenues are generally recognized when goods are delivered to a customer.
- D. The accrual-basis method focuses on tracking a company's current cash flow.
Answer: C
Explanation:
Detailed Explanation:
* Rationale for Correct Answer: Under accrual-basis accounting , revenues are generally recognized when earned (often upon delivery of goods or services), not necessarily when cash is received.
Similarly, expenses are recorded when incurred, not when paid. This provides a more accurate picture of performance and financial position.
* Analysis of Incorrect Options:
* A - This describes cash-basis accounting , not accrual-basis.
* B - Accrual accounting is more complex, not simpler.
* C - Focuses on earned revenues and incurred expenses, not immediate cash flow.
* Key Concept: Accrual accounting matches revenues with expenses in the period they occur.
Reference: ACFE Manual, Accounting Concepts - Accrual vs. Cash-Basis Accounting .
NEW QUESTION # 104
The act of an official or fiduciary person who unlawfully and wrongfully uses his station or character to procure some benefit, contrary to duty and rights of others, is called:
- A. Corruption
- B. Overbilling
- C. Bribery
- D. Conflict of interest
Answer: A
Explanation:
Detailed Explanation:
* Rationale for Correct Answer: This definition matches corruption , a broad category of occupational fraud in which employees use their influence in business transactions to gain personal benefit, in violation of their duties. Corruption schemes include bribery, conflicts of interest, illegal gratuities, and extortion.
* Analysis of Incorrect Options:
* A. Conflict of interest - A subtype of corruption, but narrower in scope.
* C. Bribery - Also a subtype, but the definition given covers the broader category.
* D. Overbilling - A billing scheme under fraudulent disbursements, not corruption.
* Key Concept: Corruption as defined in the Fraud Tree.
Reference: ACFE Fraud Examiners Manual (2020 International Edition) , Corruption - Definition and Schemes .
NEW QUESTION # 105
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