Health Care > QUESTIONS & ANSWERS > AHIP TRAINING Medicare Fraud, Waste, and Abuse Training 2022/2023 100% Answered (All)

AHIP TRAINING Medicare Fraud, Waste, and Abuse Training 2022/2023 100% Answered

Document Content and Description Below

Medicare plan means - ANSWER A MA plan, MA-PD plan or PDP Subcontractor means - ANSWER **An individual or entity that provides services on behalf of a Medicare plan sponsor. This includes individua... ls and organizations with DIRECT relationship with the plan sponsor or individuals or organizations with INDIRECT relationship, such as an agent who has a contract with an agency or filed marketing organization that contract with a Medicare plan. FWA Training: A compliance program component - ANSWER **ALL Medicare plans are required to have robust programs to assure compliance by plan employees an subcontractor with all applicable laws, regulations and program guidance. **One required component of a compliance program is a FWA program to identify and address issues of compliance with FWA. **It is important to remember that ALL Medicare plan sponsor employees and subcontractors are responsible for complying with all relevant Medicare requirements, even if lack of compliance may not be viewed as FWA, FWA: Why participate in the training - ANSWER **Fraud, waste and abuse impacts everyone who receives or relies on healthcare in the US. **The purpose of this training is to help you detect, correct and prevent FWA and your help is needed. You are part of the solution! **As a subcontractor to or an employee of a Medicare plan, you are required to participate in FWA training. FWA: Combating: A federal priority - ANSWER **Important priority for the Federal Government. **CMS, the Federal agency responsible for administering these programs, takes its role in leading anti-fraud efforts very seriously and has issued strict requirements for those involved in providing MA and Medicare Part D coverage. **The office of Inspector General, a sister agency to CMS within the US Department of Health and Human Services , is also actively involved in anti-fraud efforts. Steps by Medicare plans to Combat FWA - ANSWER --The establishment and operation of special investigation units (SIU) or other existing departments that perform an internal investigation function --The analysis of claims data --Collaboration with law enforcement agencies --Adherence to rules set forth by CMS regarding efforts to identify and prevent fraud, waste and abuse. CMS Anti-FWA requirements for Medicare plans - ANSWER --Actively seek to prevent fraud, waste and abuse --Detect and investigate suspected FWA --Implement corrective action when instances of FWA are uncovered --Have a system in place 24 hrs per day for employees and subcontractors to voluntarily, and confidentially report suspected FWA or misconduct related to the MA and Part D programs CMS FWA training requirements for a Sponsor's Employees - ANSWER **CMS requires Medicare plan sponsors to provide training in FWA to their employees involved in Medicare plan work. **This training must occur within 90 days of hire and annually thereafter. CMS FWA training requirements: Agents, Brokers and other Subcontractors - ANSWER **The FWA training must be received not only by Medicare plan sponsor employees but also by subcontractors and their employees who are under contract to provide health or administrative services. The EXCEPTIONS are limited to: ***accredited suppliers of DME, prosthetics, orthotics, and supplies (DMEPOS) ***Healthcare providers who are enrolled in Medicare Part A/B CMS FWA training requirements: Agents, Brokers and other Subcontractors Those required to take the training including, but not limited to: - ANSWER --Insurance agents, brokers as well as employees of agencies and field marketing organizations that are performing services for Medicare plans --Employees of other vendors and subcontractors (such as claim processing firms) --Pharmacies and employees of Pharmacy benefit Managers FWA Definitions and examples - ANSWER FRAUD is an intentional act of deception, misrepresentation, or concealment in order to gain something of value. Fraud often involves criminal behavior. ABUSE results in unwar [Show More]

Last updated: 5 months ago

Preview 1 out of 10 pages

Add to cart

Instant download

OR

Also available in bundle (1)

Ahip fraud waste & abuse2022/2023

Ahip fraud waste & abuse Exam 2022/2023 solved 100% And AHIP TRAINING Medicare Fraud, Waste, and Abuse Training 2022/2023 100% Answered

By MARKALLAN 5 months ago

$12.5

2  

Reviews( 1 )


by astudillo · 3 months ago

good

Recommended For You

 Health Care> QUESTIONS & ANSWERS > CPR Test (25 questions and answers with complete solutions) Latest Updated 2022 Already Graded A+ (All)

CPR Test (25 questions and answers with complete solutions) Latest Updated 2022 Already Graded A+

CPR Test (25 questions and answers with complete solutions) Latest Updated 2022 Already Graded A+ What is the rate for chest compressions per minute for any age? Correct Answer-100 compressions per...

By Nutmegs 6 months ago

QUESTIONS & ANSWERS

$7

10  

 Health Care> QUESTIONS & ANSWERS > 2.1.5 Practice Guidelines for Fitness and Nutrition (1). All answers Provided. (All)

2.1.5 Practice Guidelines for Fitness and Nutrition (1). All answers Provided.

1. Dr. Dean Ornish and Dr. T. Colin Campbell have conducted research and published books that suggest a "Whole Food Plant-Based" (WFPB) diet is best for achieving optimal health. Others, such as Dr. R...

By QuizMaster 2 years ago

QUESTIONS & ANSWERS

$6.5

3  

 Health Care> QUESTIONS & ANSWERS > ATI TEAS 7 TEST BANK QUESTION BANK 300+ QUESTIONS & ANSWERS LATEST SUMMER 2022/2023 (All)

ATI TEAS 7 TEST BANK QUESTION BANK 300+ QUESTIONS & ANSWERS LATEST SUMMER 2022/2023

ATI TEAS 7 TEST BANK QUESTION BANK 300+ QUESTIONS AND ANSWERS SUMMER 2022 ATI TEAS 7 TEST BANK | QUESTION BANK 300+ QUESTIONS AND ANSWERS 100% VERIFIED ANSWERS UPDATED SUMMER 2022 1. How are carbohydr...

By Academia1434 7 months ago

QUESTIONS & ANSWERS

$20

15  

 Health Care> QUESTIONS & ANSWERS > ACLS Recertification Test, updated 2022. Questions with accurate answers. 100% proven pass rate (All)

ACLS Recertification Test, updated 2022. Questions with accurate answers. 100% proven pass rate

ACLS Recertification Test, updated 2022. Questions with accurate answers. 100% proven pass rate A pt with STEMI has ongoing chest dicomfort. Heparin 4000 units IV bolus and heparin infusion of 1000...

By Professor Lynne 8 months ago

QUESTIONS & ANSWERS

$10

7  

 Health Care> QUESTIONS & ANSWERS > American Heart Association BLS Instructor Essentials Exams A and B (All)

American Heart Association BLS Instructor Essentials Exams A and B

American Heart Association BLS Instructor Essentials Exams A and B March 2017 © 2017 American Heart Association Contents • Student Answer Sheet • Exam A • Exam A Answer Key • Ex...

By Nutmegs 9 months ago

QUESTIONS & ANSWERS

$14

5  

 Health Care> QUESTIONS & ANSWERS > American Red Cross Final Exam BLS Latest 2021/2022 (All)

American Red Cross Final Exam BLS Latest 2021/2022

American Red Cross Final Exam BLS Latest 2021/2022 You and your colleagues have been providing high-quality CPR for and using the AED on Mr. Sauer. While providing ventilations, you notice that Mr. S...

By Nutmegs 8 months ago

QUESTIONS & ANSWERS

$10

2  

 Health Care> QUESTIONS & ANSWERS > 4.1.5 Practice: Personal Health Plan_Questions and Answers (All)

4.1.5 Practice: Personal Health Plan_Questions and Answers

4.1.5 Practice: Personal Health Plan | | 4.1.5 Practice: Personal Health Plan | Practice Assignment | Health Opportunities through Physical Education (HOPE) Sem 1 (S3767283) Celyssia Nieves...

By NursingGuidesandNotes 2 years ago

QUESTIONS & ANSWERS

$9

0  

 Health Care> QUESTIONS & ANSWERS > AAPC - Final Exam Questions 2022 100 Questions with 100% Correct Answers – COMPLETE SOLUTION (All)

AAPC - Final Exam Questions 2022 100 Questions with 100% Correct Answers – COMPLETE SOLUTION

AAPC - Final Exam Questions 2022 100 Questions with 100% Correct Answers – COMPLETE SOLUTION Local Coverage Determinations are administered by whom? a. State Law b. NCDs c. Each regional MAC d....

By Nutmegs 8 months ago

QUESTIONS & ANSWERS

$10

14  

 Health Care> QUESTIONS & ANSWERS > ATI Comprehensive Predictor 2022 - Newly Updated Complete Solutions, And Score A+ (All)

ATI Comprehensive Predictor 2022 - Newly Updated Complete Solutions, And Score A+

ATI Comprehensive Predictor 2022 - Newly Updated Complete Solutions, And Score A+

By ApicalGrades 1 year ago

QUESTIONS & ANSWERS

$13.5

0  

 Health Care> QUESTIONS & ANSWERS > 2.3.4 Project Your Plan for Fitness and Good Nutrition. (All)

2.3.4 Project Your Plan for Fitness and Good Nutrition.

2.3.4 Project: Your Plan for Fitness and Good Nutrition Project Health Opportunities through Physical Education (HOPE) Sem 1 (S3767283) Celyssia Nieves Points possible: 75...

By QuizMaster 2 years ago

QUESTIONS & ANSWERS

$8.5

0  

QUESTIONS & ANSWERS

$12.00

Add to cart

Instant download

OR

Can't Find what you want?

PLACE CUSTOM WRITING ORDER
8
1

Document information


Connected school, study & course



About the document


Uploaded

5 months ago

Number of pages

10

Written in

All

Type

QUESTIONS & ANSWERS

Seller


MARKALLAN

Member since 8 months ago

43 Documents Sold


Additional information

This document has been written for:

Course

Health Care

Paper Category

QUESTIONS & ANSWERS

Uploaded

5 months ago

Downloads

 1

Views

 8

THE BEST STUDY GUIDES

Avoid resits and achieve higher grades with the best study guides, textbook notes, and class notes written by your fellow students

Avoid examination resits

Your fellow students know the appropriate material to use to deliver high quality content. With this great service and assistance from fellow students, you can become well prepared and avoid having to resits exams.

Get the best grades

Your fellow student knows the best materials to research on and use. This guarantee you the best grades in your examination. Your fellow students use high quality materials, textbooks and notes to ensure high quality

Earn from your notes

Get paid by selling your notes and study materials to other students. Earn alot of cash and help other students in study by providing them with appropriate and high quality study materials.

$12.00

WHAT STUDENTS SAY ABOUT US


What is Browsegrades

In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.

We are here to help

We're available through e-mail, Twitter, Facebook, and live chat.
 FAQ
 Questions? Leave a message!

Follow us on
 Twitter

Copyright © Browsegrades · High quality services·