Fraud, Waste & Abuse questions with correct answers

Compliance is the responsibility of the Compliance Officer, Compliance Committee, and Upper Management only. CORRECT ANSWER False Ways to report a compliance issue include: CORRECT ANSWER all of the above What is the policy of non-retaliation? CORRECT ANSWER 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 (FWA); potential health privacy violation, and unethical behavior/employee misconduct. CORRECT ANSWER True Once a corrective action plan begins addressing non-compliance or Fraud, Waste, and Abuse (FWA) committed by a Sponsor's employee or First-Tier, Downstream, or Related Entity's (FDR's) employee, ongoing monitoring of the corrective actions is not necessary. CORRECT ANSWER False Medicare Parts C and D plan Sponsors are not required to have a compliance program. CORRECT ANSWER False At a minimum, an effective compliance program includes four core requirements. CORRECT ANSWER False Standards of Conduct are the same for every Medicare Parts C and D Sponsor. CORRECT ANSWER False Correcting non-compliance ________________. CORRECT ANSWER Protects enrollees, avoids recurrence of the same non-compli