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Fraud, Waste, and Abuse for 2023 QUESTIONS WITH COMPLETE 100% VERIFIED SOLUTIONS 2024/2025

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Fraud, Waste, and Abuse for 2023 QUESTIONS WITH COMPLETE 100% VERIFIED SOLUTIONS 2024/2025 Compliance is the responsibility of the Compliance Officer, Compliance Committee, and Upper Management only. False Ways to report a compliance issue include: a. Telephone hotlines b. Report on the Sponsor's website c. In-person reporting to the compliance department/supervisor d. All of the above d. All of the above What is the policy of non -retaliation? a. Allows the Sponsor to discipline employees who violate th e Code of Conduct b. Prohibits management and supervisor from harassing employees for misconduct c. Protects employees who, in good faith, report suspected non -compliance d. Prevents fights between employees c. 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 (FWA); potential health privacy violation, and unethical behavior/employee misconduct. True Once a corrective action p lan begins addressing non -compliance or fraud, waste, and abuse (FWA) committed by a Sponsor's employee or First -Tier, Downstream, or Related Entity's (FDR's) employee, ongoing monitoring of the corrective actions is not necessary. False Medicare Parts C a nd 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 ________________. a. Protects enrollees, avoids recurrence of the same non -compliance, and promotes efficiency

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