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Combating Medicare Parts C&D Fraud, Waste & Abuse, FWA, Top Questions and answers, verified.
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Combating Medicare Parts C&D Fraud, Waste & Abuse, FWA, Top Questions and answers, verified. 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: - -...

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Document information

  • June 13, 2023
  • 2
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers

Subjects

  • combating medicare parts campd fraud
  • waste amp abuse

Written for

  • FWA
All documents for this subject (20)

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PassPoint02

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Combating Medicare Parts C&D Fraud,
Waste & Abuse, FWA, Top Questions
and answers, verified.

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 times the
government's damages caused by the violator plus a penalty. - ✔✔-False



These are examples of issues that should be reported to a compliance department: suspected fraud,
waste, and abuse (FWA); potential health privacy violation; unethical behavior; and employee
misconduct. - ✔✔-True



Bribes or kickbacks of any kind for services that are paid under a federal health care program (which
includes medicare) constitute fraud by the person making as well as the person receiving them. - ✔✔-
True



Waste includes any misuse of resources such as the overuse of services, or other practices that, directly
or indirectly, result in unnecessary cost to the medicare program. - ✔✔-True



Abuse involves payment for items or services when there is no legal entitlement to that payment and
the provider has not knowingly or intentionally misrepresented facts to obtain payment. - ✔✔-True



Some of the laws governing Medicare Parts C and D Fraud, Waste, and Abuse (FWA) include the Health
Insurance Portability and Accountability Act (HIPAA); the False Claims Act; the Anti-Kickback Statute, and
the health care fraud statute. - ✔✔-True

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