Abuse fwa 2 - Study guides, Class notes & Summaries

UHC Ethics & Compliance 2022 What type of events must an agent report to UnitedHealthcare? 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? Which election period occurs from October 15 to December 7? Which of the following materials is an agent NOT permitted to display and/or distribute at a marketing/sales event? You have scheduled an appointment and obtained a Scope of App...

Fraud, Waste, Abuse FWA – 2, Top Exam Questions and answers, VERIFIED. Rated A+ 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 actions must be monitored annually to ensure they are effective. : True False false - -Any per...

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...

2024 Medicare+ Fraud, Waste, and Abuse Practice Questions and Answers (100% Pass) Your job is to submit a risk diagnosis to the Centers for Medicare & Medicaid Services (CMS) for the purpose of payment. As part of this job, you use a process to verify the data is accurate. Your immediate supervisor tells you to ignore the Sponsor's process and to adjust or add risk diagnosis codes for certain individuals. What should you do? - Answer️️ -Report the incident to the compliance departme...

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? - He may sign-up for Medicare at any time however coverage usually begins on the fourth month after dialysis treatments start. 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 e...

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...

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...

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? He may sign-up for Medicare at any time however coverage usually begins on the fourth month after dialysis treatments start. 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 offe...

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 ...

NEW AHIP FINAL EXAM TEST WITH COMPLETE SOLUTIONS QUESTIONS AND ANSWERS ALL VERIFIED 2024 Mr. Moy's wife has a Medicare Advantage plan, but he wants to understand what coverage Medicare Supplemental Insurance provides since his health care needs are different from his wife's needs. What could you tell Mr. Moy? correct answers Medicare Supplemental Insurance coinsurance in Original Fee- for-Service (FFS) Medicare as well as possibly some services that Medicare does not cover. Mrs. Peňa is ...