Abuse fwa – 2 - Study guides, Class notes & Summaries

Renewal application NIH (aka Competing Continuation) Request for an additional period of support based on a previously funded project; compete with other competing continuation, competing supplemental, and new applications for funds; If not funded, must use the "new" application to reapply and continuity with previous award will not be retained. Resubmission NIH An unfunded application that has been modified following initial review and resubmitted for new consideration. FCOI Financial Co...

2023 AHIP Mr. Davis is 52 years old and has recently been diagnosed with end-stage renal disease (ESRD) and will soon begin dialysis. He is wondering if he can obtain coverage under Medicare. What should you tell him? Juan Perez, who is turning age 65 next month, intends to work for several more years at Smallcap, Incorporated. Smallcap has a workforce of15 employees and offers employer-sponsored healthcare coverage. Juan is a naturalized citizen and has contributed to the Medicare system...

Which of the following requires intent to obtain payment and the knowledge that the actions are wrong? Correct Answer: Fraud Which of the following is not potentially a penalty for violation of the law or regulation prohibiting fraud, waste and abuse (fwa)? Correct Answer: Deportation A person comes into your pharmacy to drop off a prescription for a beneficiary who is a regular customer. The prescription is for a controlled substance with a quantity of 160. This beneficiary normally...

SEJPME Final Exam|ALL CORRECT ANSWERS Post Test Here is your test result.The dots represent the choices you have made. The highlighted questions are the questions you have missed. Remediation Accessed shows whether you accessed those links.'N' represents links not visited and 'Y' represents visited links. Back to Status page contains 50 Questions 1) Marines had to develop which method to achieve speed and dispersion on a potentially atomic battlefield? [objective81] vertica...

AHIP 2024 FRAUD Final Exam Practice Questions and Answers Waste includes any misuse of resources, such as the overuse of services or other practices that directly or indirectly result in unnecessary costs to the Medicare Program. - Answer️️ -True Once a corrective action plan is started, the corrective action plan must be monitored annually to ensure they are effective. - Answer️️ -False These are examples of issues that should be reported to a Compliance Department: suspected fr...

2024 General Compliance Module 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 date by one month, and 2) to waive all monthly premiums for the beneficiary. What should you do? Process the application properly (without the requested revisions)—inform your supervisor and the compliance officer about the sales agent's request You ...

1992. The beginning of intensified provider audits and need for compliance. - GAO identified Medicare claims to be high risk for fraud/waste in what year? $23 billion - Initial audit determined how much in improper payments? Teaching Hospitals (University of Pennsylvania) - First Major Target of audits searching for fraud, waste, and abuse/ $30 Million (without admitting wrongdoing) - Settlement with University of PA? (Amount of settlement) Feb 1998 (hospitals), Other sec...

UHC Ethics & Compliance 2021What type of events must an agent report to UnitedHealthcare? - correct answer Only the marketing/sales events, both formal and informal. While using LEAN to complete an enrollment application with a consumer, Agent Jeff learns the consumer does not have an email address. What should Jeff do? - correct answer Leave any field requesting a consumer email address blank. Which election period occurs from October 15 to December 7? - correct answer Annual Election Per...

Pharmacy Law & Ethics Verified Solutions Medications are classed as legend drugs when they _______ be safely used without medical supervision cannot The pharmacist is responsible for the final check of medication products before products leave the pharmacy. The pharmacist also has legal responsibility to oversee the pharmacy technician's workflow activities. What doctrine refers to the principle whereby the pharmacist is liable for negligence of pharmacy technicians working on their...

Fraud, Waste, Abuse – 2 Actual Questions and Answers 100% Correct | New Update 2024