Combating Medicare Parts C&D Fraud,
Waste & Abuse, FWA, Top Questions
and answers, verified.
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
These are examples of issues that should be reported to a compliance department: suspected fraud,
waste, and abuse (FWA); potential health privacy violation; unethical behavior; and employee
misconduct. - ✔✔-True
Bribes or kickbacks of any kind for services that are paid under a federal health care program (which
includes medicare) constitute fraud by the person making as well as the person receiving them. - ✔✔-
True
Waste includes any misuse of resources such as the overuse of services, or other practices that, directly
or indirectly, result in unnecessary cost to the medicare program. - ✔✔-True
Abuse involves payment for items or services when there is no legal entitlement to that payment and
the provider has not knowingly or intentionally misrepresented facts to obtain payment. - ✔✔-True
Some of the laws governing Medicare Parts C and D Fraud, Waste, and Abuse (FWA) include the Health
Insurance Portability and Accountability Act (HIPAA); the False Claims Act; the Anti-Kickback Statute, and
the health care fraud statute. - ✔✔-True
Waste & Abuse, FWA, Top Questions
and answers, verified.
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
These are examples of issues that should be reported to a compliance department: suspected fraud,
waste, and abuse (FWA); potential health privacy violation; unethical behavior; and employee
misconduct. - ✔✔-True
Bribes or kickbacks of any kind for services that are paid under a federal health care program (which
includes medicare) constitute fraud by the person making as well as the person receiving them. - ✔✔-
True
Waste includes any misuse of resources such as the overuse of services, or other practices that, directly
or indirectly, result in unnecessary cost to the medicare program. - ✔✔-True
Abuse involves payment for items or services when there is no legal entitlement to that payment and
the provider has not knowingly or intentionally misrepresented facts to obtain payment. - ✔✔-True
Some of the laws governing Medicare Parts C and D Fraud, Waste, and Abuse (FWA) include the Health
Insurance Portability and Accountability Act (HIPAA); the False Claims Act; the Anti-Kickback Statute, and
the health care fraud statute. - ✔✔-True
