Fraud Waste and Abuse Nursing Exam Package Deal Graded A+

ompliance 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 noncompliance These a...

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...

e - Ways to report potential Fraud, Waste, and Abuse (FWA) include: a. Telephone hotlines b. Mail Drops c. In-person reporting to the compliance department/supervisor d. Special Investigations Units (SIUs) e. All of the above false - Once a corrective action plan is started, the corrective act...

Once a corrective action plan is started, the corrective actions must be monitored annually to ensure they are effective. - False Ways to report potential fraud, waste, and abuse (FWA) include: - All of the above Any person who knowingly submits false claims to the government is liable for five t...

Bribes or kickbacks of any kind for services that are paid under a Federal healthcare program (which includes Medicare) constitute fraud by the person making as well as the person receiving them. - True Once a corrective action plan is started, the corrective actions must be monitored annually to...

Which of the following is an example of a best practice strategy to prevent fraud, waste, and abuse? - Establish procedures for maintaining and distributing medication samples. Which of the following pieces of legislation mandated the establishment of a Join Health Care Fraud and Abuse Control (H...

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 ...

You can help prevent Fraud, Waste, and Abuse (FA) by doing all of the following: Look for suspicious activity; Conduct yourself in an ethical manner; Ensure accurate and timely data/billing; Ensure you coordinate with other payers; Keep up to date with FA policies and procedures, standards of c...

Health Insurance Portability and Accountability Act (HIPPA) mandated that health care entities implement which of the following strategies to help reduce the Medicare fee-for-service error rate and prevent payment for potential fraudulent activity? - Answer: electronic health records Rationale: E...

I work in Radiology and have noticed a specific nurse performs comprehensive exams on patients without documenting them. Despite not documenting the exams, I know patients still get a bill for them What should I do? - Report the situation to my leader or compliance leader; what we bill always nee...

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...