AHIP General Compliance- Medicare - FWA – Fruad, Waste and Abuse Practice Review Test.

AHIP General Compliance- Medicare - FWA – Fruad, Waste
and Abuse Practice Review Test.
1. Compliance is the responsibility of the
False
compliance officer, compliance committee and
upper manage- ment only

2. Ways to report a compliance issue include All of the above

3. What is the policy of non-retaliation Protects employees who,
in good faith, report
suspected non-
compliance

4. These are examples of issues that can be True
reported to a compliance department
:suspected fraud, waste, and abuse; potential
health privacy violation and un- ethical
behavior/employee misconduct

5. Once a corrective action plan begins addressing non False
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

6. Medicare parts c and d plan sponsors are False
not re- quired to have a compliance
program
False
7. At a minimum, an effective compliance
program in- cludes four core requirements
False
8. Standards of conduct are the same for
every Medicare parts c and d sponsor

9. Correcting non-compliance Protects enrollees,
1/
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