2017 CMS General Compliance Training 1. Medicare … · Published by Articulate® Storyline 2017...

Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training

2017 CMS General Compliance Training

1. Medicare Parts C and D General Compliance Training

1.3 Introduction

1.4 Introduction

1.5 Introduction

1.6 Why Do I Need Training?

1.7 Training Requirements

1.8 Learn More

1.9 Course Content

1.10 Course Objectives

1.11 Introduction and Learning Objectives

1.12 Compliance Program Requirement

1.13 What is an Effective Compliance Program?

1.14 What is an Effective Compliance Program? (continued)

1.15 Seven Core Compliance Program Requirements

1.16 Seven Core Compliance Program Requirements (continued)

1.17 Seven Core Compliance Program Requirements (continued)

1.18 Compliance Training - Sponsors and their FDRs

1.19 Ethics - Do the Right Thing!

1.20 How Do You Know What Is Expected of You?

1.21 What is Non-Compliance?

1.22 What is Non-Compliance? (continued)

1.23 Know the Consequences

1.24 Non-Compliance Affects Everybody

1.25 How to Report Potential Non-Compliance

1.26 How to Report Potential Non-Compliance (continued)

1.27 What Happens After Non-Compliance is Detected?

1.28 What Are Internal Monitoring and Audits?

1.29 Lesson Summary

1.30 Compliance Is Everyone's Responsibility

1.31 Lesson Review

1.32 Knowledge Check

1.33 Knowledge Check Answer

1.40 You've completed the lesson!

1.41 Post-Assessment

1.42 Question 1 of 10

Compliance is the responsibility of the Compliance Officer, Compliance

Committee, and Upper Management only.

Correct Choice

Ways to report a compliance issue include:

Correct Choice

Telephone hotlines

Report on the Sponsor’s website

In-person reporting to the compliance department/supervisor

All of the above

What is the policy of non-retaliation?

Correct Choice

Allows the Sponsor to discipline employees who violate the Code of Conduct

Prohibits management and supervisor from harassing employees for misconduct

Protects employees who, in good faith, report suspected non-compliance

Prevents fights between employees

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.

Correct Choice

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.

Correct Choice

Medicare Parts C and D plan Sponsors are not required to have a compliance

program.

Correct Choice

At a minimum, an effective compliance program includes four core requirements.

Correct Choice

Standards of Conduct are the same for every Medicare Parts C and D Sponsor.

Correct Choice

Correcting non-compliance ______________________.

Correct Choice

Protects enrollees, avoids recurrence of the same non-compliance, and promotes

efficiency

Ensures bonuses for all employees

Both A. and B.

What are some of the consequences for non-compliance, fraudulent, or unethical

behavior?

Correct Choice

Disciplinary action

Termination of employment

Exclusion from participation in all Federal health care programs

All of the above

2017 CMS General Compliance Training Answer Key

Compliance is the responsibility of the Compliance Officer, Compliance

Committee, and Upper Management only.

Correct Choice

X False

Ways to report a compliance issue include:

Correct Choice

Telephone hotlines

Report on the Sponsor’s website

In-person reporting to the compliance department/supervisor

X All of the above

What is the policy of non-retaliation?

Correct Choice

Allows the Sponsor to discipline employees who violate the Code of Conduct

Prohibits management and supervisor from harassing employees for misconduct

X Protects employees who, in good faith, report suspected non-compliance

Prevents fights between employees

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.

Correct Choice

X True

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.

Correct Choice

X False

Medicare Parts C and D plan Sponsors are not required to have a

compliance program.

Correct Choice

X False

At a minimum, an effective compliance program includes four core requirements.

Correct Choice

X False

Standards of Conduct are the same for every Medicare Parts C and D Sponsor.

Correct Choice

X False

Correcting non-compliance ______________________.

Correct Choice

X Protects enrollees, avoids recurrence of the same non-compliance, and promotes

efficiency

Ensures bonuses for all employees

Both A. and B.

What are some of the consequences for non-compliance, fraudulent, or unethical

behavior?

Correct Choice

Disciplinary action

Termination of employment

Exclusion from participation in all Federal health care programs

X All of the above

2017 CMS General Compliance Training 1. Medicare … · Published by Articulate® Storyline 2017...

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