Ways to report a compliance issue include:
Select the correct answer.
answer
Telephone hotlines
Report on the Sponsor's website
In-person reporting to the compliance department/supervisor
question
Medicare Parts C and D plan Sponsors are not required to have a compliance program.
answer
False
question
At a minimum, an effective compliance program includes four core requirements.
answer
False
question
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
answer
False
question
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.
answer
True
question
Standards of Conduct are the same for every Medicare Parts C and D Sponsor.
answer
False
question
What are some of the consequences for non-compliance, fraudulent, or unethical behavior?
answer
Disciplinary action
Termination of employment
Exclusion from participation in all Federal health care programs
question
What is the policy of non-retaliation?
answer
Protects employees who, in good faith, report suspected non-compliance
question
Compliance is the responsibility of the Compliance Officer, Compliance Committee, and Upper Management only.
answer
False
question
Correcting non-compliance ______________.
answer
Protects enrollees, avoids recurrence of the same non-compliance, and promotes efficiency
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