Ahip general compliance Updated 2024/2025 Actual Questions and answers with complete solutions

At a minimum, an effective compliance program includes four core requirements - False Compliance is the responsibility of the compliance officer, compliance committee and upper management only - False Correcting non-compliance - Protects enrollees, avoids recurrence of the same non-compliance, and promotes efficiency Medicare parts c and d plan sponsors are not required to have a compliance program - False Once a corrective action plan begins addressing non compliance or fraud, waste and abuse committed by a sponsors employee or first tier, downstream, or related entity's (fdr's) employee, ongoing monitoring or the corrective actions is not necessary - False Standards of conduct are the same for every Medicare parts c and d sponsor - False These are examples of issues that can be reported to a compliance department :suspected fraud, waste, and abuse; potential health privacy violation and unethical behavior/employee misconduct - True Ways to report a compliance issue include - All of the above What are some of the consequences for non-compliance, fraudulent, or unethical behavior - All of the above What is the policy of non-retaliation - Protects employees who, in good faith, report suspected non-compliance