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Fraud Waste and Abuse Nursing Exam Package Deal Graded A+
Fraud Waste and Abuse Nursing Exam Package Deal Graded A+
[Show more]Fraud Waste and Abuse Nursing Exam Package Deal Graded A+
[Show more]ACA Section 1557 differs from earlier legislation in providing broader protection against discrimination 
based on - sex 
Section 1557 of the Affordable Care Act applies to - c. all health programs and activities administered 
by or receiving federal financial assistance from HHS. Correct 
Which Med...
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Add to cartACA Section 1557 differs from earlier legislation in providing broader protection against discrimination 
based on - sex 
Section 1557 of the Affordable Care Act applies to - c. all health programs and activities administered 
by or receiving federal financial assistance from HHS. Correct 
Which Med...
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...
Preview 1 out of 3 pages
Add to cartompliance 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...
Preview 1 out of 2 pages
Add to cartHow 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...
Preview 1 out of 2 pages
Add to carte - 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...
Preview 1 out of 2 pages
Add to cartOnce 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...
Preview 1 out of 2 pages
Add to cartBribes 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...
Preview 1 out of 1 pages
Add to cartWhich 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 ...
Preview 2 out of 11 pages
Add to cartMedicare 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...
Preview 1 out of 2 pages
Add to cartYou 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...
Preview 1 out of 2 pages
Add to cartHealth 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...
Preview 1 out of 2 pages
Add to cartI 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...
Preview 1 out of 1 pages
Add to cartWhich 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...
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