AHIP GENERAL COMPLIANCE EXAM QUESTIONS AND ANSWERS 100% CORRECT !

Compliance is the responsibility of the compliance officer, compliance committee and upper management only - ANSWERFalse d plan sponsors are not required to have a compliance program - ANSWERFalse Ways to report a compliance issue include - ANSWERAll of the above What is the policy of non-retaliation - ANSWERProtects employees who, in good faith, report suspected non-compliance At a minimum, an effective compliance program includes four core requirements - ANSWERFalse Standards of conduct are the same for every Medicare parts c and d sponsor - ANSWERFalse Correcting non-compliance - ANSWERProtects enrollees, avoids recurrence of the same non-compliance, and promotes efficiency What are some of the consequences for non-compliance, fraudulent, or unethical behavior - ANSWERAll of the above 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 - ANSWERTrue