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

e - Answer- 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 - Answer- Once a corrective action plan is started, the corrective actions must be monitored annually to ensure they are effective. : True False false - Answer- 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. : True False true - Answer- These 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 - Answer- 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 False true - Answer- Waste 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 - Answer- sex Section 1557 of the Affordable Care Act applies to - Answer- c. all health programs and activities administered by or receiving federal financial assistance from HHS. Correct Which Medicare programs are covered by ACA Section 1557? - Answer- a. Parts A, C, and D, but not B. Correct Under ACA Section 1557, prohibited actions involve - Answer- d. eligibility, claims, and marketing. Correct Under