FWA
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FWA 14
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FRAUD, WASTE, AND ABUSE, FWA, Top Exam Questions and answers, 100% Accurate. Verified. 
 
 
The AF policy on FWA is to use all available means to: - -- prevent, detect, & correct instances of FWA 
- appropriately discipline perpetrators involved in FWA activities 
- recoup losses of cash, property, & services resulting from FWA if possible 
 
Fraud - -any intentional deception designed to unlawfully deprive the gov't of something of value or to secure from the gov't for an individual benefit,...
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FWA•FWA
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FRAUD, WASTE, AND ABUSE, FWA, Top Exam Questions and answers, 100% Accurate. Verified. 
 
 
The AF policy on FWA is to use all available means to: - -- prevent, detect, & correct instances of FWA 
- appropriately discipline perpetrators involved in FWA activities 
- recoup losses of cash, property, & services resulting from FWA if possible 
 
Fraud - -any intentional deception designed to unlawfully deprive the gov't of something of value or to secure from the gov't for an individual benefit,...
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 examp...
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FWA•FWA
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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 examp...
AHIP FWA 2023, Top Exam Questions and answers, 100% Accurate. 
 
 
Mrs. Turner is comparing her employer's retiree insurance to Original Medicare and would like to know which of the following services Original Medicare will cover if the appropriate criteria are met? What could you tell her? - -Original Medicare covers ambulance services. 
 
Mr. Singh would like drug coverage but does not want to be enrolled in a Medicare Advantage plan. What should you tell him? - -Mr. Singh can enroll in a sta...
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FWA•FWA
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AHIP FWA 2023, Top Exam Questions and answers, 100% Accurate. 
 
 
Mrs. Turner is comparing her employer's retiree insurance to Original Medicare and would like to know which of the following services Original Medicare will cover if the appropriate criteria are met? What could you tell her? - -Original Medicare covers ambulance services. 
 
Mr. Singh would like drug coverage but does not want to be enrolled in a Medicare Advantage plan. What should you tell him? - -Mr. Singh can enroll in a sta...
Fraud, Waste, and Abuse FWA, Top Exam Review Questions sections. 100% Accurate. 
 
 
When does FWA occur? - -FWA tend to occur when individuals allow deviations from established procedures. Management at all levels is required to maintain internal controls to prevent resources from being susceptible to FWA. 
 
What is the first line of defense against FWA? - -Vigilence. 
 
What serves to deter fraudulent, wasteful, and abusive practice? - -Detection and prosecution. 
 
How can you help to keep F...
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FWA•FWA
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Fraud, Waste, and Abuse FWA, Top Exam Review Questions sections. 100% Accurate. 
 
 
When does FWA occur? - -FWA tend to occur when individuals allow deviations from established procedures. Management at all levels is required to maintain internal controls to prevent resources from being susceptible to FWA. 
 
What is the first line of defense against FWA? - -Vigilence. 
 
What serves to deter fraudulent, wasteful, and abusive practice? - -Detection and prosecution. 
 
How can you help to keep F...
FWA, Top Exam Questions and answers, 100% Accurate, Verified. 
 
 
Under ACA Section 1557, a health plan sold through a state exchange may, based on an individual's age, - -Limit benefits and services. 
 
Under ACA Section 1557, a health plan - -Cannot deny coverage to LEP individuals and is required to provide language assistance to them, free of charge. 
 
ACA Section 1557 rules for disability concern - -Policies and procedures, physical access, and communication. 
 
Which of the following st...
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FWA•FWA
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FWA, Top Exam Questions and answers, 100% Accurate, Verified. 
 
 
Under ACA Section 1557, a health plan sold through a state exchange may, based on an individual's age, - -Limit benefits and services. 
 
Under ACA Section 1557, a health plan - -Cannot deny coverage to LEP individuals and is required to provide language assistance to them, free of charge. 
 
ACA Section 1557 rules for disability concern - -Policies and procedures, physical access, and communication. 
 
Which of the following st...
Fraud, Waste & Abuse, Top Exam Questions and answers. VERIFIED. 
 
 
Compliance 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 non-compliance 
 
These are examples of issues that can be reported to a Compliance Department: suspected Fraud, Waste, and Abuse (FWA); potential...
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FWA•FWA
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Fraud, Waste & Abuse, Top Exam Questions and answers. VERIFIED. 
 
 
Compliance 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 non-compliance 
 
These are examples of issues that can be reported to a Compliance Department: suspected Fraud, Waste, and Abuse (FWA); potential...
Fraud Waste and Abuse (FWA) Training. Top Exam Questions and answers, verified. 
 
 
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. 
 
Civil False Claims Act - -Makes a person liable to pay damages to the government if 
1. He or she knowingly c...
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FWA•FWA
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Fraud Waste and Abuse (FWA) Training. Top Exam Questions and answers, verified. 
 
 
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. 
 
Civil False Claims Act - -Makes a person liable to pay damages to the government if 
1. He or she knowingly c...
Combating Medicare Parts C and D Fraud, Waste, and Abuse FWA – Top Questions and answers. Verified. 
 
 
 
Which of the following is NOT potentially a penalty for violation of a law or regulation prohibiting fraud, waste, and abuse (FWA)? - -Deportation 
 
You are performing a regular inventory of the controlled substances in the pharmacy. You discover a minor inventory discrepancy. What should you do? - -Follow your pharmacy's procedures. 
 
Your job is to submit a risk diagnosis to the Cent...
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FWA•FWA
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Combating Medicare Parts C and D Fraud, Waste, and Abuse FWA – Top Questions and answers. Verified. 
 
 
 
Which of the following is NOT potentially a penalty for violation of a law or regulation prohibiting fraud, waste, and abuse (FWA)? - -Deportation 
 
You are performing a regular inventory of the controlled substances in the pharmacy. You discover a minor inventory discrepancy. What should you do? - -Follow your pharmacy's procedures. 
 
Your job is to submit a risk diagnosis to the Cent...
CE Mastery Exam - Medicare FWA, Top Exam Questions and answers, Verified. 
 
 
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? 
 
a.Do what your immediate supervisor asked you to do and adjust or add ...
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FWA•FWA
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CE Mastery Exam - Medicare FWA, Top Exam Questions and answers, Verified. 
 
 
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? 
 
a.Do what your immediate supervisor asked you to do and adjust or add ...
Fraud, Waste, and Abuse FWA for 2023. Top Exam Questions and answers, VERIFIED. 
 
 
Compliance is the responsibility of the Compliance Officer, Compliance Committee, and Upper Management only. - -False 
 
Ways to report a compliance issue include: 
a. Telephone hotlines 
b. Report on the Sponsor's website 
c. In-person reporting to the compliance department/supervisor 
d. All of the above - -d. All of the above 
 
What is the policy of non-retaliation? 
a. Allows the Sponsor to discipline empl...
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- • 4 pages's •
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FWA•FWA
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Fraud, Waste, and Abuse FWA for 2023. Top Exam Questions and answers, VERIFIED. 
 
 
Compliance is the responsibility of the Compliance Officer, Compliance Committee, and Upper Management only. - -False 
 
Ways to report a compliance issue include: 
a. Telephone hotlines 
b. Report on the Sponsor's website 
c. In-person reporting to the compliance department/supervisor 
d. All of the above - -d. All of the above 
 
What is the policy of non-retaliation? 
a. Allows the Sponsor to discipline empl...