Fraud, Waste, and Abuse Exam.
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: d. All of the above
a. Telephone hotlines
b. Report on the Sponsor's website
c. In-person reporting to the compliance
depart- ment/supervisor
d. All of the above
3. What is the policy of non-retaliation? c. Protects
a. Allows the Sponsor to discipline employees employees who, in
who vi- olate the Code of Conduct good faith, re- port
suspected non-com-
b. Prohibits management and supervisor from harass- pliance
ing employees for misconduct
c. Protects employees who, in good faith,
report sus- pected non-compliance
d. Prevents fights between employees
4. These are examples of issues that can be reported to
a True Compliance Department: suspected
fraud, waste, and abuse (FWA); potential health
privacy violation, and unethical
behavior/employee misconduct.
5. Once a corrective action plan begins addressing False
non-compliance or fraud, waste, and abuse (FWA)
com- mitted by a Sponsor's employee or First-
Tier, Down- stream, or Related Entity's (FDR's)
employee, ongoing monitoring of the
corrective actions is not necessary.
1/
7
, Fraud, Waste, and Abuse Exam.
6. Medicare Parts C and D plan Sponsors are not required False
to have a compliance program.
2/
7
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: d. All of the above
a. Telephone hotlines
b. Report on the Sponsor's website
c. In-person reporting to the compliance
depart- ment/supervisor
d. All of the above
3. What is the policy of non-retaliation? c. Protects
a. Allows the Sponsor to discipline employees employees who, in
who vi- olate the Code of Conduct good faith, re- port
suspected non-com-
b. Prohibits management and supervisor from harass- pliance
ing employees for misconduct
c. Protects employees who, in good faith,
report sus- pected non-compliance
d. Prevents fights between employees
4. These are examples of issues that can be reported to
a True Compliance Department: suspected
fraud, waste, and abuse (FWA); potential health
privacy violation, and unethical
behavior/employee misconduct.
5. Once a corrective action plan begins addressing False
non-compliance or fraud, waste, and abuse (FWA)
com- mitted by a Sponsor's employee or First-
Tier, Down- stream, or Related Entity's (FDR's)
employee, ongoing monitoring of the
corrective actions is not necessary.
1/
7
, Fraud, Waste, and Abuse Exam.
6. Medicare Parts C and D plan Sponsors are not required False
to have a compliance program.
2/
7
