**** 2018 COMPLIANCE FINAL********

WHAT ARE SOME OF THE CONSEQUENCES FOR NON-COMPLIANCE, FRAUDULENT, OR UNETHICAL BEHAVIOR

CORRECTING NON-COMPLIANCE

STANDARDS OF CONDUCT ARE THE SAME FOR EVERY MEDICARE PARTS C AND PART D SPONSOR

AT A MINIMUM, AN EFFECTIVE COMPLIANCE PROGRAM INCLUDES FOUR CORE REQUIRMENTS.

MEDICARE PARTS C AND D PLAN SPONSORS ARE NOT REQIURED TO HAVE A COMPLIANCE PROGRAM.

ONCE A CORRECTIVE ACTION PLAN BEGINS ADDRESSING NON-COMPLIANCE OR FRAUD, WASTE, AND ABUSE COMMITTED BY A SPONSOR'S EMPLOYEE OR FIRST-TIER.........

THESE ARE EXAMPLES OF ISSUES THAT CAN BE REPORTED TO A COMPLIANCE DEPARTMENT SUSPECTED FRAUD, WATE AND ABUSE; POTENTIAL HEALTH PRIVACY VIOLATION.......

WHAT IS THE POLICY OF NON-RETALIATION?

WAYS TO REPORT A COMPLIANCE ISSUE INCLUDE:

COMPLIANCE IS THE RESPONSIBILTY OF THE COMPLIANCE OFFICER, COMPLIANCE COMMITTEE, AND UPPER MANAGMENT ONLY