Fraud Waste And Abuse Study Guide Graded A+

At a minimum, an effective compliance program includes four core requirements. {Ans: False}These are examples of issues that should be reported to a Compliance Department: suspected Fraud, Waste, and Abuse (FWA); potential health privacy violation, and unethical behavior/employee misconduct. {Ans: True}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. {Ans: True}Under Section 1557, 2020 Final Rule sex is defined {Ans: d. to include discrimination based on gender identity.}You can help prevent Fraud, Waste, and Abuse (FWA) 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 FWA policies and procedures, standards of conduct, laws, regulations, and the Centers for Medicare & Medicaid Services (CMS) guidance; and • Verify all information provided to you. {Ans: F}A sales agent, employed by the Sponsor's first-tier, downstream, or related entity (FDR), submitted an application for processing and requested two things: 1) to back-date the enrollment