AHIP GENERAL COMPLIANCE
Compliance is the responsibility of the compliance officer,
compliance committee and upper management only -
ANSWER -False
Ways to report a compliance issue include - ANSWER -All
of the above
What is the policy of non-retaliation - 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;
potential health privacy violation and unethical
behavior/employee misconduct - ANSWER -True
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 - ANSWER -False
Medicare parts c and d plan sponsors are not required to have
a compliance program - ANSWER -False
At a minimum, an effective compliance program includes four
core requirements - ANSWER -False
Standards of conduct are the same for every Medicare parts c
and d sponsor - ANSWER -False
Correcting non-compliance - ANSWER -Protects
enrollees, avoids recurrence of the same non-compliance, and
promotes efficiency
What are some of the consequences for non-compliance,
fraudulent, or unethical behavior - ANSWER -All of the
above
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Compliance is the responsibility of the compliance officer,
compliance committee and upper management only -
ANSWER -False
Ways to report a compliance issue include - ANSWER -All
of the above
What is the policy of non-retaliation - 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;
potential health privacy violation and unethical
behavior/employee misconduct - ANSWER -True
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 - ANSWER -False
Medicare parts c and d plan sponsors are not required to have
a compliance program - ANSWER -False
At a minimum, an effective compliance program includes four
core requirements - ANSWER -False
Standards of conduct are the same for every Medicare parts c
and d sponsor - ANSWER -False
Correcting non-compliance - ANSWER -Protects
enrollees, avoids recurrence of the same non-compliance, and
promotes efficiency
What are some of the consequences for non-compliance,
fraudulent, or unethical behavior - ANSWER -All of the
above
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