Fraud, Waste & Abuse Exam 2026
Questions and 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
©COPYRIGHT 2025 ALL RIGHTS RESERVED 1
Questions and 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
©COPYRIGHT 2025 ALL RIGHTS RESERVED 1
