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CCEP Certified Compliance and Ethics Professional 101 Exam Questions and Answers Latest (2024 / 2025) (Verified Answers by Expert) $12.99   Add to cart

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CCEP Certified Compliance and Ethics Professional 101 Exam Questions and Answers Latest (2024 / 2025) (Verified Answers by Expert)

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  • Certified Compliance And Ethics Professional CCEP

CCEP Certified Compliance and Ethics Professional 101 Exam Questions and Answers Latest (2024 / 2025) (Verified Answers by Expert) compliance program ANS prevention, detection, collaboration, and enforcement 2. Effective compliance program ANS must be an ongoing process and commitmentto an ethic...

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  • September 20, 2024
  • 26
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • ccep compliance 101
  • Certified Compliance and Ethics Professional CCEP
  • Certified Compliance and Ethics Professional CCEP
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CCEP Compliance 101.pdf file:///C:/Users/HP/Desktop/New%20Conver/CCEP%20Compliance




CCEP Compliance 101



1. compliance program

ANS prevention, detection, collaboration, and enforcement

2. Effective compliance program

ANS must be an ongoing process and commitmentto an ethical way of conducting business

3. Office of Inspector General and Justice Department

ANS is responsible for enforc-ing the rules and regulations under the Medicare and Medicaid

laws outline as partof the SSA by CMS.

4. Benefits of compliance program addressed by OIG

ANS safeguards the organiza-tions' legal responsibility to abide by applicable laws and

regulations.

5. Corporate Integrity Agreement (CIA)

ANS government imposed compliance pro-gram

6. Why compliance programs are essential

ANS prevent paybacks, probation, govern-ment designed programs, exclusion, reduce threat of

lawsuits from whistleblowers(qui tam).
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7. OIG Top 10 reasons to implement a compliance program

ANS demonstrates a strong commitment to honesty and responsible corporate relations,

reinforces em-ployees sense of right and wrong, fulfill legal duty to payers, cost effective, more

accurate view of what is going on, quality of care to clients, provides procedures topromptly

correct misconduct, mitigate any sanction imposed by government.

8. Health Insurance Portability and Accountability Act of 1996 (HIPAA)

ANS a crimi-nal offense to submit claims based on incorrect codes or medically unnecessary ser-

vices, and government has the power to exclude an organization from Medicare/caidand other

govt programs.

9. Balanced Budget Act of 1997

ANS three strikes and your out clause , requiringpermanent expulsion if found guilty of

fraud a third time.

10. False Claims Act (FCA)

ANS empowers the govt to investigate and bring civil actionin fraud cases. Implemented in Civil

War to control price gouging.

11. Qui tam

ANS is a whistleblower who brings the fraud to light.

12. A whistleblower can receive a % of the govt's total award
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ANS 15-25% if DOJassumes the case or 25-30% if DOJ declines

13. To avoid lengthy and expensive litigation, an organization can negotiate a

with the govt admits no fault or liability but does submit to agovt plan

for corrective action.

ANS CIA

14. Length of CIAs

ANS 3-5 yrs with some lasting up to 8 yrs

15. 1984 Congress enacted Sentencing reform act which includes FSG

ANS act designed to correct inequities in federal sentencing and give guidance for assessingfines

and methods for calculation of culpability score.

16. The culpability score

ANS calculation of the degree of blame or guilt used todetermine fines, restitution,

forfeiture, and probation.




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