Fraud, Waste & Abuse With Correct Answers Graded A+

Compliance is the responsibility of the Compliance Officer, Compliance Committee, and Upper Management only. - False Ways to report a compliance issue include: - all of the above What is the policy of non-retaliation? - 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. - 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. - False Medicare Parts C and D plan Sponsors are not required to have a compliance program. - False At a minimum, an effective compliance program includes four core requirements. - False Standards of Conduct are the same for every Medicare Parts C and D Sponsor. - False Correcting non-compliance ________________. - 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? - All of the aboveOnce a corrective action plan is started, the corrective actions must be monitored annually to ensure they are effective. - False