Fraud, Waste, and Abuse Training Assessment
This assessment asks you 10 questions about Fraud, Waste, and Abuse (FWA). It should take about 10 minutes to complete. Please choose the answer for each question by clicking on the button next to your answer. You may change your answer to a question until you click on the “SUBMIT” button, at which time your answers are submitted. Please also enter your name and e-mail address to ensure receipt of certificate upon completion.
Name
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First Name
Last Name
E-mail
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1. Once a corrective action plan is started, the corrective actions must be monitored annually to ensure they are effective. Select the correct answer.
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True
False
2. Ways to report potential Fraud, Waste, and Abuse (FWA) include: Select the correct answer.
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Telephone hotlines
Mail drops
In-person reporting to the compliance department/supervisor
Special Investigation Units (SIUs)
All of the Above
3. A provider who violates the Civil False Claims Act may have to pay a Civil Monetary Penalty (CMP) of $20,000 for each false claim. Select the correct answer.
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True
False
4. These are examples of issues that should be reported to a Compliance Department: suspected Fraud, Waste, and Abuse (FWA); potential health privacy violation, and unethical behavior/employee misconduct.
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True
False
5. Bribes or kickbacks of any kind for services that are paid under a Federal health care program (which includes Medicare) constitute fraud by the person making as well as the person receiving them.
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True
False
6. Waste includes any misuse of resources such as the overuse of services, or other practices that, directly or indirectly, result in unnecessary costs to the Medicare Program.
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True
False
7. Abuse involves payment for items or services when there is no legal entitlement to that payment and the provider has not knowingly and/or intentionally misrepresented facts to obtain payment.
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True
False
8. Some of the laws governing Medicare Parts C and D Fraud, Waste, and Abuse (FWA) include the Health Insurance Portability and Accountability Act (HIPAA); the False Claims Act; the Anti-Kickback Statute; the List of Excluded Individuals and Entities (LEIE); and the Health Care Fraud Statute.
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True
False
9. You can help prevent Fraud, Waste, and Abuse (FWA) by doing all of the following: •Look for suspicious activity; •Conduct yourself in an ethical manner; •Ensure accurate and timely data/billing; •Ensure you coordinate with other payers; •Keep up to date with FWA policies and procedures, standards of conduct, laws, regulations, and the Centers for Medicare& Medicaid Services (CMS) guidance; and •Verify all information provided to you.
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True
False
10. What are some of the penalties for violating Fraud, Waste, and Abuse (FWA) laws? Select the correct answer.
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Civil Monetary Penalties
Imprisonment
Exclusion from participation in all Federal Haelth care programs
All of the Above
Submit
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