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Exam (elaborations)

Fraud, Waste & Abuse, Top Exam Questions and answers. VERIFIED.

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Fraud, Waste & Abuse, Top Exam Questions and answers. VERIFIED. 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 (FWA); potential health privacy violation, and unethical behavior/employee misconduct. - -True Once a corrective action plan 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 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 Once a corrective action plan is started, the corrective actions must be monitored annually to ensure they are effective. - -False Ways to report potential Fraud, Waste, and Abuse (FWA) include: - -All of the above Any person who knowingly submits false claims to the Government is liable for five times the Government's damages caused by the violator plus a penalty. - -False

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Uploaded on
June 13, 2023
Number of pages
4
Written in
2022/2023
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

  • fraud

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Fraud, Waste & Abuse, Top Exam
Questions and answers. VERIFIED.

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 (FWA); potential health privacy violation, and unethical behavior/employee
misconduct. - ✔✔-True



Once a corrective action plan 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 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

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