CE Mastery Exam - Medicare FWA
Pharmacies that provide services for federal health care programs are restricted from hiring
pharmacists who have ___________.
A. Been investigated for a violation of fraud, waste, and abuse regulations
B. Not been certified to render Medicare, Medicaid, or DMEPOS services
C. Committed a felony of any kind
D. Been placed on the OIG exclusion list - ANSD. Been placed on the OIG exclusion list
Which of the following fully describes penalties for convicted employees?
A. Fines amounting to thousands of dollars and exclusion from federal health care programs
B. Imprisonment (which may include a life term for violations resulting in death)
C. Fines, imprisonment, and exclusion from federal health care programs
D. No fines or imprisonment because individuals are not held responsible for violations
committed while transacting business for an employer - ANSC. Fines, imprisonment, and
exclusion from federal health care programs
Which is the best policy to follow when determining how long your pharmacy must maintain
prescriptions, claims, and billing records processed for Medicaid, Medicare, and DMEPOS
programs?
A. Maintain records for at least 10 years.
B. Maintain records for at least 20 years.
C. Follow your company's record retention policies.
D. Maintain records for at least 5 years, unless state law requires a longer period. - ANSA.
Maintain records for at least 10 years
Which of the following is NOT a key indicator of a suspicious or invalid prescription?
A. The prescription is not appropriate based on a beneficiary's other prescriptions.
B. The person picking up the prescription is not the actual beneficiary.
C. The beneficiary has attempted to fill numerous identical prescriptions from different
doctors.
D. The beneficiary asks a number of questions about the drug's side effects and dosage. -
ANSD. The beneficiary asks a number of questions about the drug's side effects and
dosage.
Who is required to receive fraud, waste, and abuse compliance training?
A. Only managers and supervisors
B. Compliance training is strictly voluntary, but may result in reduced penalties should
violations occur
C. Any individual who works in a retail setting that includes a pharmacy
Pharmacies that provide services for federal health care programs are restricted from hiring
pharmacists who have ___________.
A. Been investigated for a violation of fraud, waste, and abuse regulations
B. Not been certified to render Medicare, Medicaid, or DMEPOS services
C. Committed a felony of any kind
D. Been placed on the OIG exclusion list - ANSD. Been placed on the OIG exclusion list
Which of the following fully describes penalties for convicted employees?
A. Fines amounting to thousands of dollars and exclusion from federal health care programs
B. Imprisonment (which may include a life term for violations resulting in death)
C. Fines, imprisonment, and exclusion from federal health care programs
D. No fines or imprisonment because individuals are not held responsible for violations
committed while transacting business for an employer - ANSC. Fines, imprisonment, and
exclusion from federal health care programs
Which is the best policy to follow when determining how long your pharmacy must maintain
prescriptions, claims, and billing records processed for Medicaid, Medicare, and DMEPOS
programs?
A. Maintain records for at least 10 years.
B. Maintain records for at least 20 years.
C. Follow your company's record retention policies.
D. Maintain records for at least 5 years, unless state law requires a longer period. - ANSA.
Maintain records for at least 10 years
Which of the following is NOT a key indicator of a suspicious or invalid prescription?
A. The prescription is not appropriate based on a beneficiary's other prescriptions.
B. The person picking up the prescription is not the actual beneficiary.
C. The beneficiary has attempted to fill numerous identical prescriptions from different
doctors.
D. The beneficiary asks a number of questions about the drug's side effects and dosage. -
ANSD. The beneficiary asks a number of questions about the drug's side effects and
dosage.
Who is required to receive fraud, waste, and abuse compliance training?
A. Only managers and supervisors
B. Compliance training is strictly voluntary, but may result in reduced penalties should
violations occur
C. Any individual who works in a retail setting that includes a pharmacy
