Medicare Compliance Quiz
10 Questions
101 Views

Medicare Compliance Quiz

Created by
@NiftySard6198

Podcast Beta

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Ways to report a compliance issue include:

  • Telephone hotlines
  • Report on the Sponsor's website
  • In-person reporting to the compliance department/supervisor
  • All of the above (correct)
  • Medicare Parts C and D plan Sponsors are not required to have a compliance program.

    False

    At a minimum, an effective compliance program includes four core requirements.

    False

    Once a corrective action plan begins addressing non-compliance or Fraud, Waste, and Abuse (FWA) committed by a Sponsor's employee, ongoing monitoring of the corrective actions is not necessary.

    <p>False</p> Signup and view all the answers

    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.

    <p>True</p> Signup and view all the answers

    Standards of Conduct are the same for every Medicare Parts C and D Sponsor.

    <p>False</p> Signup and view all the answers

    What are some of the consequences for non-compliance, fraudulent, or unethical behavior?

    <p>Disciplinary action, termination of employment, exclusion from participation in all Federal health care programs.</p> Signup and view all the answers

    What is the policy of non-retaliation?

    <p>Protects employees who, in good faith, report suspected non-compliance.</p> Signup and view all the answers

    Compliance is the responsibility of the Compliance Officer, Compliance Committee, and Upper Management only.

    <p>False</p> Signup and view all the answers

    Correcting non-compliance ______________.

    <p>protects enrollees, avoids recurrence of the same non-compliance, and promotes efficiency.</p> Signup and view all the answers

    Study Notes

    Reporting Compliance Issues

    • Compliance issues can be reported through multiple channels: telephone hotlines, the Sponsor's website, or in-person to the compliance department or supervisor.

    Compliance Program Requirements

    • Medicare Parts C and D plan Sponsors are mandated to have a compliance program, making the statement that they are not required false.
    • An effective compliance program does not only include four core requirements; the statement suggesting this is also false.

    Follow-Up on Corrective Actions

    • Ongoing monitoring of corrective actions is essential after addressing non-compliance or Fraud, Waste, and Abuse (FWA). The idea that it is unnecessary is false.

    Reportable Issues to Compliance Department

    • Valid issues to report include suspected Fraud, Waste, and Abuse, potential health privacy violations, and unethical behavior or employee misconduct.

    Standards of Conduct

    • Standards of Conduct can vary among different Medicare Parts C and D Sponsors, making the notion that they are the same for all false.

    Consequences for Non-Compliance

    • Consequences of non-compliance or unethical behavior may include disciplinary action, termination of employment, and exclusion from all Federal health care programs.

    Non-Retaliation Policy

    • The non-retaliation policy protects employees who report suspected non-compliance in good faith.

    Responsibility for Compliance

    • Compliance responsibility extends beyond just the Compliance Officer, Compliance Committee, and Upper Management; it involves all levels of the organization.

    Importance of Correcting Non-Compliance

    • Correcting non-compliance is crucial as it protects enrollees, prevents recurrence of similar issues, and promotes overall efficiency.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Description

    Test your knowledge on Medicare Parts C and D compliance requirements, reporting channels for compliance issues, and the importance of monitoring corrective actions. This quiz covers essential topics related to fraud, waste, abuse, and standards of conduct within compliance programs.

    More Like This

    Medicare Chapter 9 Flashcards
    29 questions
    Medicare Compliance Reporting
    24 questions
    Use Quizgecko on...
    Browser
    Browser