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Medicare Parts C and D General Compliance Training

  1. Compliance is the responsibility of the Compliance Officer, Compliance Committee, and Upper Management only.
    1. True
    2. False

  2. Ways to report a compliance issue include:
    1. Telephone hotlines
    2. Report on the Sponsor's website
    3. In-person reporting to the compliance department/supervisor
    4. All of the above

  3. What is the policy on non-retaliation?
    1. Allows the Sponsor to discipline employees who violate the Code of Conduct
    2. Prohibits management and supervisor from harassing employees for misconduct
    3. Protects employees who, in good faith, report suspected non-compliance
    4. Prevents fights between employees

  4. These are examples of issues that can be reported to a Compliance Department: suspected Fraud, Waste, and Abuse (FWA); potential health privacy violation, and unethical behavior/employee misconduct.
    1. True
    2. False

  5. Once a corrective action plan begins addressing non-compliance or Fraud, Waste, and Abuse (FWA) committed by a Sponsor's employee or First-Tier, Downstream, or Related Entity's (FDR's) employee, ongoing monitoring of the corrective actions is not necessary.
    1. True
    2. False

  6. Medicare Parts C and D plan Sponsors are not required to have a compliance program.
    1. True
    2. False

  7. At a minimum, an effective compliance program includes four core requirements.
    1. True
    2. False

  8. Standards of Conduct are the same for every Medicare Parts C and D Sponsor.
    1. True
    2. False

  9. Fill in the blank. Correcting non-compliance ______________.
    1. Protects enrollees, avoids recurrence of the same non-compliance, and promotes efficiency
    2. Ensures bonuses for all employees
    3. Both of the above

  10. What are some of the consequences for non-compliance, fraudulent, or unethical behavior?
    1. Disciplinary action
    2. Termination of employment
    3. Exclusion from participation in all Federal health care programs
    4. All of the above



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