FWA

Combating Medicare Parts C and D Fraud, Waste, and Abuse FWA – Top Questions and answers. Verified. Which of the following is NOT potentially a penalty for violation of a law or regulation prohibiting fraud, waste, and abuse (FWA)? - -Deportation You are performing a regular inventory of the controlled substances in the pharmacy. You discover a minor inventory discrepancy. What should you do? - -Follow your pharmacy's procedures. Your job is to submit a risk diagnosis to the Cent...

CE Mastery Exam - Medicare FWA, Top Exam Questions and answers, Verified. Your job is to submit a risk diagnosis to the Centers for Medicare & Medicaid Services (CMS) for the purpose of payment. As part of this job, you use a process to verify the data is accurate. Your immediate supervisor tells you to ignore the Sponsor's process and to adjust or add risk diagnosis codes for certain individuals. What should you do? a.Do what your immediate supervisor asked you to do and adjust or add ...

FRAUD, WASTE, AND ABUSE, FWA, Top Exam Questions and answers, 100% Accurate. Verified. The AF policy on FWA is to use all available means to: - -- prevent, detect, & correct instances of FWA - appropriately discipline perpetrators involved in FWA activities - recoup losses of cash, property, & services resulting from FWA if possible Fraud - -any intentional deception designed to unlawfully deprive the gov't of something of value or to secure from the gov't for an individual benefit,...

Fraud, Waste, and Abuse FWA for 2023. 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: a. Telephone hotlines b. Report on the Sponsor's website c. In-person reporting to the compliance department/supervisor d. All of the above - -d. All of the above What is the policy of non-retaliation? a. Allows the Sponsor to discipline empl...

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 examp...

Fraud, Waste, Abuse FWA - 2, Fraud Waste and Abuse, Preventing Fraud, Abuse & Waste, Fraud, Abuse, and Waste, Fraud Waste and Abuse 2018 AHIP, fraud, waste, and abuse prevention. Top Questions and answers, 100% Accurate. e - -Ways to report potential Fraud, Waste, and Abuse (FWA) include: a. Telephone hotlines b. Mail Drops c. In-person reporting to the compliance department/supervisor d. Special Investigations Units (SIUs) e. All of the above false - -Once a correctiv...

AHIP FWA 2023, Top Exam Questions and answers, 100% Accurate. Mrs. Turner is comparing her employer's retiree insurance to Original Medicare and would like to know which of the following services Original Medicare will cover if the appropriate criteria are met? What could you tell her? - -Original Medicare covers ambulance services. Mr. Singh would like drug coverage but does not want to be enrolled in a Medicare Advantage plan. What should you tell him? - -Mr. Singh can enroll in a sta...

FWA - Medicare Fraud, Waste, & Abuse. Top Exam Questions and answers, 100% Accurate. A chiropractor, in an intentional attempt to falsely get Medicare Program money, billed medically unnecessary services and falsified the beneficiary's Medicare claim diagnosis. Depending on the facts and circumstances, she most likely committed - -Medicare fraud or abuse because she knowingly submitted false Medicare Program claims You can help prevent Medicare fraud & abuse by - -All of the above ...

Fraud, Waste, Abuse FWA – 2, Top Exam Questions and answers, VERIFIED. Rated A+ e - -Ways to report potential Fraud, Waste, and Abuse (FWA) include: a. Telephone hotlines b. Mail Drops c. In-person reporting to the compliance department/supervisor d. Special Investigations Units (SIUs) e. All of the above false - -Once a corrective action plan is started, the corrective actions must be monitored annually to ensure they are effective. : True False false - -Any per...

Fraud, Waste, and Abuse FWA, Top Exam Review Questions sections. 100% Accurate. When does FWA occur? - -FWA tend to occur when individuals allow deviations from established procedures. Management at all levels is required to maintain internal controls to prevent resources from being susceptible to FWA. What is the first line of defense against FWA? - -Vigilence. What serves to deter fraudulent, wasteful, and abusive practice? - -Detection and prosecution. How can you help to keep F...