Fraud, Waste, Abuse - 2, Fraud Waste and Abuse, Preventing Fraud, Abuse & Waste, Fraud, Abuse, and Waste, Fraud Waste and Abuse 2024 AHIP, fraud, waste, and abuse prevention| 100% Correct
Fraud, Waste, Abuse - 2, Fraud Waste and Abuse, Preventing Fraud, Abuse & Waste, Fraud, Abuse, and Waste, Fraud Waste and Abuse 2024 AHIP, fraud, waste, and abuse prevention| 100% Correct 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 ACA Section 1557, a person - Answer ️️ -c. cannot be discriminated against based on her legal or illegal immigration status or ability to speak English. C
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- AHIP Fraud Waste and Abuse
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fraud waste abuse 2 fraud waste and abuse pr
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