Medicare Fraud, Waste, & Abuse (2022/2023) (Certified Answers)

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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 i... mmediate 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 risk diagnosis codes b.Report the incident to the compliance department (via compliance hotline or other mechanism) c.Discuss your concerns with your immediate supervisor d.Call law enforcement ✔✔Report the incident to the compliance department (via compliance hotline or other mechanism) Which of the following is NOT potentially a penalty for violation of a law or regulation prohibiting fraud, waste, and abuse (FWA)? a.Civil Monetary Penalties b.Exclusion from participation in all Federal health care programs c.Deportatio ✔✔Deportation [Show More]

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