Ahip general compliance | Quizlet

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10 Terms

1
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Compliance is the responsibility of the compliance officer, compliance committee and upper management only

False

2
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Ways to report a compliance issue include

All of the above

3
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What is the policy of non-retaliation

Protects employees who, in good faith, report suspected non-compliance

4
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These are examples of issues that can be reported to a compliance department :suspected fraud, waste, and abuse; potential health privacy violation and unethical behavior/employee misconduct

True

5
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Once a corrective action plan begins addressing non compliance or fraud, waste and abuse committed by a sponsors employee or first tier, downstream, or related entity's (fdr's) employee, ongoing monitoring or the corrective actions is not necessary

False

6
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Medicare parts c and d plan sponsors are not required to have a compliance program

False

7
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At a minimum, an effective compliance program includes four core requirements

False

8
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Standards of conduct are the same for every Medicare parts c and d sponsor

False

9
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Correcting non-compliance

Protects enrollees, avoids recurrence of the same non-compliance, and promotes efficiency

10
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What are some of the consequences for non-compliance, fraudulent, or unethical behavior

All of the above