Me dicare and Medicaid General Compliance Training Questions with Correct Answers
Ways to report a compliance issue include:
Select the correct answer. - Correct Answer Telephone hotlines Report on the Sponsor's website In-person reporting to the compliance department/supervisor Medicare Parts C and D plan Sponsors are not required to have a compliance program. - Correct Answer False At a minimum, an effective compliance program includes four core requirements. - Correct Answer False 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 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 Standards of Conduct are the same for every Medicare Parts C and D Sponsor. - Correct Answer False What are some of the consequences for non-compliance, fraudulent, or unethical behavior? - Correct Answer Disciplinary action Termination of employment Exclusion from participation in all Federal health care programs What is the policy of non-retaliation? - Correct Answer Protects employees who, in good faith, report suspected non-compliance
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