Fraud, Waste, Abuse - 2, Fraud Waste and Abuse, Preventing Fraud, Abuse & Waste, Fraud, Abuse, and Waste, Fraud Waste and Abuse 2018 AHIP, fraud, waste, and abuse prevention Questions & Answers!!
e - ANSWERWays 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 - ANSWEROnce a corrective action plan is started, the corrective actions must be monitored annually to ensure they are effective. : True False false - ANSWERAny 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. : True False true - ANSWERThese are examples of issues that should be reported to a Compliance Department: suspected Fraud, Waste, and Abuse (FWA); potential health privacy violation, and unethical behavior/employee misconduct. : True False true - ANSWERBribes 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 False true - ANSWERWaste includes any misuse of resources such as the overuse of services, or other practices that, directly or indirectly, result in unnecessary costs to the Medicare Program. : True False ACA Section 1557 differs from earlier legislation in providing broader protection against discrimination based on - ANSWERsex
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