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

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

1. In the fraud scale, pressure, opportunity, and integrity variables all result in a list of ___ possible red flags or indicators of occupational fraud and abuse.

A) 84
B) 82
C) 81
D) 83

2. Delivery has not occurred or services have not been rendered when:

A) Neither A nor B
B) Both A & B
C) Until installation and customer testing and acceptance has occurred.
D) A written order exists but contains a right of return.

3. Which of the following scenarios is an example of upcoding?

A) 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.
B) 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.
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.

4. Which of the following is a red flag that might indicate that someone is attempting to commit insurance fraud?

A) A burglary loss claim includes small electronic items and jewelry.
B) A theft claim includes items that were purchased recently and the receipts.
C) A claim is made soon after an insurance policy commences.
D) The insured made one other insurance claim within the past five years.

5. Malcolm is a manager at a financial institution. To safeguard the bank and its customers from electronic funds transfer (EFT) fraud, Malcolm is implementing preventive measures. What is one measure Malcolm can take to prevent EFT fraud?

A) Send online banking portal PINs, usernames, and passwords in a single communication to ensure the information is not lost or intercepted.
B) Send electronic communications containing usernames in an unencrypted format to ensure that the intended recipient can access them.
C) Ensure that the same employee handles both PIN issuance and access device information to limit the number of people accessing this information.
D) Employ multifactor authentication to verify transfers via electronic bill presentment and payment (EBPP) or person-to-person (P2P) systems.

Solutions: