Fraud Waste and Abuse Full Solution Pack(Bundled exams 100% verified

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 Thes...

Compliance is the responsibility of the Compliance Officer, Compliance Committee, and Upper Management only. - False Ways to report a compliance issue include: a. Telephone hotlines b. Report on the Sponsor's website c. In-person reporting to the compliance department/supervisor d. All of the...

How to recognize FWA in the Medicare Program - Knowledge of the law including the Civil False claims Act, Health Care Fraud Statute, and Criminal Fraud, Anti-Kickback Statute, Stark Statute, Exclusion from all Federal healthcare programs, and the Health Insurance Portability and Accountability Act...

Which of the following requires intent to obtain payment and the knowledge that the actions are wrong? - Fraud Which of the following is not potentially a penalty for violation of the law or regulation prohibiting fraud, waste and abuse (fwa)? - Deportation A person comes into your pharmacy to d...

ACA Section 1557, and the Final Rule interpreting it as drafted by the Obama Administration, differs from earlier legislation in providing broader protection against discrimination based on - sex. Under ACA Section 1557, a health plan sold through a state exchange may, based on an individual's ag...

Your job is to submit a risk diagnosis to the Centers for Medicare & Medicaid Services (CMS) for the purpose of payment. As part of this job, you use a process to verify the data is accurate. Your immediate supervisor tells you to ignore the Sponsor's process and to adjust or add risk diagnosis c...

Which of the following is an example of the best practice strategy to prevent fraud, waste, and abuse? - Establish procedures for maintaining and distributing medication samples If health care providers accept free drug samples from manufacturers, a best practice strategy to prevent fraud, waste,...

Medicare plan means - A MA plan, MA-PD plan or PDP Subcontractor means - **An individual or entity that provides services on behalf of a Medicare plan sponsor. This includes individuals and organizations with DIRECT relationship with the plan sponsor or individuals or organizations with INDIRECT ...