Second level - reconsideration by Independent contractor Third
appeal - Administrative Law Judge (ALJ) hearing Fourth appeal -
review by Medicare Appeals Council Fifth appeal - review in
Federal District Court
6. Which of the following is an absolute necessity in order to have a successful Compliance
Program?
a. continuous training and improvements
b. effective reporting path
c. non-retaliation for whistleblowers
d. reliable and equal discipline
Answer c. non-retaliation for whistleblowers
7. A Compliance Program with well written policies and procedures
a. can be successful if consistently reviewed and maintained
b. cannot be effective due to the sheer volume presented
c. will be effective if read by management
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