2017 cms general compliance training 1. medicare … · published by articulate® storyline 2017...
TRANSCRIPT
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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
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1.3 Introduction
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1.4 Introduction
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1.5 Introduction
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1.6 Why Do I Need Training?
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1.7 Training Requirements
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1.8 Learn More
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1.9 Course Content
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1.10 Course Objectives
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1.11 Introduction and Learning Objectives
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1.12 Compliance Program Requirement
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1.13 What is an Effective Compliance Program?
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1.14 What is an Effective Compliance Program? (continued)
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1.15 Seven Core Compliance Program Requirements
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1.16 Seven Core Compliance Program Requirements (continued)
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1.17 Seven Core Compliance Program Requirements (continued)
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1.18 Compliance Training - Sponsors and their FDRs
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1.19 Ethics - Do the Right Thing!
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1.20 How Do You Know What Is Expected of You?
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1.21 What is Non-Compliance?
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1.22 What is Non-Compliance? (continued)
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1.23 Know the Consequences
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1.24 Non-Compliance Affects Everybody
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1.25 How to Report Potential Non-Compliance
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1.26 How to Report Potential Non-Compliance (continued)
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1.27 What Happens After Non-Compliance is Detected?
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1.28 What Are Internal Monitoring and Audits?
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1.29 Lesson Summary
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1.30 Compliance Is Everyone's Responsibility
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1.31 Lesson Review
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1.32 Knowledge Check
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1.33 Knowledge Check Answer
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1.34 Knowledge Check
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1.35 Knowledge Check Answer
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1.36 Knowledge Check
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1.37 Knowledge Check Answer
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1.38 Knowledge Check
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1.39 Knowledge Check Answer
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1.40 You've completed the lesson!
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1.41 Post-Assessment
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1.42 Question 1 of 10
Compliance is the responsibility of the Compliance Officer, Compliance
Committee, and Upper Management only.
Correct Choice
True
False
1.43 Question 2 of 10
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
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1.44 Question 3 of 10
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
1.45 Question 4 of 10
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
True
False
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1.46 Question 5 of 10
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
True
False
1.47 Question 6 of 10
Medicare Parts C and D plan Sponsors are not required to have a compliance
program.
Correct Choice
True
False
1.48 Question 7 of 10
At a minimum, an effective compliance program includes four core requirements.
Correct Choice
True
False
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1.49 Question 8 of 10
Standards of Conduct are the same for every Medicare Parts C and D Sponsor.
Correct Choice
True
False
1.50 Question 9 of 10
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.
1.51 Question 10 of 10
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
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2017 CMS General Compliance Training Answer Key
1.42 Question 1 of 10
Compliance is the responsibility of the Compliance Officer, Compliance
Committee, and Upper Management only.
Correct Choice
True
X False
1.43 Question 2 of 10
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
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1.44 Question 3 of 10
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
1.45 Question 4 of 10
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
False
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1.46 Question 5 of 10
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
True
X False
1.47 Question 6 of 10
Medicare Parts C and D plan Sponsors are not required to have a
compliance program.
Correct Choice
True
X False
1.48 Question 7 of 10
At a minimum, an effective compliance program includes four core requirements.
Correct Choice
True
X False
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1.49 Question 8 of 10
Standards of Conduct are the same for every Medicare Parts C and D Sponsor.
Correct Choice
True
X False
1.50 Question 9 of 10
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.
1.51 Question 10 of 10
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