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ACFE Certified Fraud Examiner -Fraud Schemes and Financial Crimes Sample Questions:

1. To detect fraud committed by a health care provider, a fraud examiner should look for which of the following red flags?

A) The details in the provider's supporting documentation match the health care claim.
B) The number of claims made by the provider for reimbursement are lower than average.
C) The provider has unusually low profits compared to similar businesses in the same region.
D) There is a high percentage of coding outliers in the provider's documentation.

2. In which phase of the competitive bidding process do fraudsters attempt to influence the selection of a contractor by restricting the pool of competitors from whom bids are sought?

A) Solicitation
B) False specification
C) Need recognition
D) Submission

3. Bob, a purchasing agent for Gallenkamp, directed a portion of Gallenkamp's business to Oak Company. In exchange for receiving additional business, Oak Company's sales manager agreed to pay Bob a percentage of the extra profits. Which of the following BEST describes the type of corruption scheme in which Bob engaged?

A) Economic extortion scheme
B) Illegal gratuity scheme
C) Kickback scheme
D) Diversion scheme

4. Which of the following statements is MOST ACCURATE regarding the methods used for making corrupt payments in corruption schemes?

A) Payers' promises of favorable treatment are not considered corrupt payments under bribery laws.
B) Payers often make corrupt payments by providing loans to recipients on favorable terms.
C) Payers cannot use their credit cards to make corrupt payments because of anti-money laundering rules.
D) Payers often make corrupt payments by selling property to recipients at prices that are higher than the property's market value.

5. A fraudster creates a fictitious identity by combining a person's real government identification number with a fabricated name and birthdate. This scheme can BEST be described as:

A) Synthetic identity theft
B) Traditional identity theft
C) Criminal identity theft
D) Simulated identity theft

Solutions: