AHIP GENERAL COMPLIANCE- MEDICARE - FWA - FRUAD, WASTE AND ABUSE WITH COMPLETE SOLUTIONS

Compliance is the responsibility of the compliance officer, compliance committee and upper management only False Ways to report a compliance issue include All of the above What is the policy of non-retaliation Protects employees who, in good faith, report suspected non-compliance These are examples of issues that can be reported to a compliance department :suspected fraud, waste, and abuse; potential health privacy violation and unethical behavior/employee misconduct True Once a corrective action plan begins addressing non compliance or fraud, waste and abuse committed by a sponsors employee or first tier, downstream, or related entity's (fdr's) employee, ongoing monitoring or the corrective actions is not necessary False Medicare parts c and d plan sponsors are not required to have a compliance program False At a minimum, an effective compliance program includes four core requirements False Standards of conduct are the same for every Medicare parts c and d sponsor False Correcting non-compliance Protects enrollees, avoids recurrence of the same non-compliance, and promotes efficiency What are some of the consequences for non-compliance, fraudulent, or unethical behavior All of the above