AHIP general compliance questions and answers already passed
AHIP general compliance questions and answers already passed 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; potential health privacy violation and unethical behavior/employee misconduct True Once a corrective action plan begins addressing non 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 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
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- March 9, 2023
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- 2
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- 2022/2023
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- Exam (elaborations)
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- Questions & answers