Certified Fraud Examiner CFE-Financial-Transactions-and-Fraud-Schemes Reddit Questions

Detailed Explanation:

Rationale for Correct Answer:In fictitious revenue schemes, sales are recorded that never occurred. Because no actual customers exist, there will be no late or overdue accounts receivable. The Fraud Examiners Manual (2020) notes that unusually clean receivables aging reports—i.e., no overdue balances—can be a red flag of revenue manipulation.

Analysis of Incorrect Option:

B. False – Incorrect; the absence of overdue receivables is indeed suspicious and aligns with fictitious revenue fraud.

Key Concept: Financial statement fraud red flags — fictitious revenues.

Detailed Explanation:

Rationale for Correct Answer:The journal is specifically the chronological record of transactions. Each entry captures date, accounts affected, amounts, and explanation, making it the foundational record before posting to the ledger.

Analysis of Incorrect Options:

A. Asset – Not a record, but a resource.

C. Checkbook – Only records cash movements, not all transactions.

D. Ledger – Summarizes accounts, but not in chronological order.

Key Concept:Chronological recording of transactions via the journal.

Detailed Explanation:

Rationale for Correct Answer:John created a completely false expense claim for a meal that he did not personally pay for. This is a fictitious expense reimbursement scheme, where employees invent expenses and submit them for reimbursement.

Analysis of Incorrect Options:

A. Mischaracterized expense – Legitimate expenses claimed as business when they are personal. Not applicable here.

C. Multiple reimbursement – Involves submitting the same receipt more than once. Not the case here.

D. Overstated expense – Inflating a legitimate expense, which is not what John did.

Key Concept: Expense reimbursement fraud — fictitious expenses.

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.