Fraud Waste and Abuse Study guides, Class notes & Summaries

ACA Section 1557 differs from earlier legislation in providing broader protection against discrimination based on - sex Section 1557 of the Affordable Care Act applies to - c. all health programs and activities administered by or receiving federal financial assistance from HHS. Correct Which Medicare programs are covered by ACA Section 1557? - a. Parts A, C, and D, but not B. Correct Under ACA Section 1557, prohibited actions involve - d. eligibility, claims, and marketing. Correct Under...

ACA Section 1557 differs from earlier legislation in providing broader protection against discrimination based on - correct answer sex Section 1557 of the Affordable Care Act applies to - correct answer c. all health programs and activities administered by or receiving federal financial assistance from HHS. Correct Which Medicare programs are covered by ACA Section 1557? - correct answer a. Parts A, C, and D, but not B. Correct Under ACA Section 1557, prohibited actions involve - correct a...

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...

What is Fraud? - correct answer a false representation about a material fact It is any intentional deception designed to deprive the United States, or the EPA, unlawfully of something of value, or to secure from the United States, or the EPA, for an individual, a benefit, privilege, allowance or consideration to which he or she is not entitled. What is Waste? - correct answer It is the extravagant, careless or needless expenditure of government funds, or the consumption of government proper...

Definition: Knowingly and willfully executing, or attempting to execute: -a scheme or artifice to defraud any health care benefit program; or -to obtain, by means of false or fraudulent pretenses, representations, or -promises, any of the money or property owned by, or under the custody or control of, any health care benefit program. - correct answer fraud Definition: overutilization of services, or other practices that, directly or indirectly, result in unnecessary costs to the Medicare P...

What is Fraud? - correct answer Intentional deception or misrepresentation made by a person with the knowledge that the deception could result in some unauthorized benefit to him/herself or some other person What is Abuse? - correct answer Provider practices that are inconsistent with sound fiscal, business, or medical practices, and result in an unnecessary cost to Health programs, or in reimbursement for services that are not medically necessary or fail to meet professionally recognized st...

Fraud, Waste, and Abuse for 2024 | Questions with 100% Correct Answers | Latest Update 2024 | Verified

Fraud Waste And Abuse Exam With Complete Solutions 2024

Fraud Waste And Abuse Exam With Complete Solutions 2024

FRAUD WASTE AND ABUSE 2023 QUESTIONS WITH COMPLETE SOLUTIONS GRADED A+ ACA Section 1557 differs from earlier legislation in providing broader protection against discrimination based on - CORRECT ANSWER sex Section 1557 of the Affordable Care Act applies to - CORRECT ANSWER c. all health programs and activities administered by or receiving federal financial assistance from HHS. Correct Which Medicare programs are covered by ACA Section 1557? - CORRECT ANSWER a. Parts A, C, and D, but...

ACA Section 1557 differs from earlier legislation in providing broader protection against discrimination based on - CORRECT ANSWER sex Section 1557 of the Affordable Care Act applies to - CORRECT ANSWER c. all health programs and activities administered by or receiving federal financial assistance from HHS. Correct Which Medicare programs are covered by ACA Section 1557? - CORRECT ANSWER a. Parts A, C, and D, but not B. Correct Under ACA Section 1557, prohibited actions i...