Training 800662/ Q&A
These are examples of issues that can be reported to a Compliance Department:
- Suspected Fraud, Waste and Abuse (FWA)
- Potential health privacy violation
- Unethical behavior/employee misconduct
A. True
B. False - Answer: B. True
Medicare Parts C and D plan Sponsors are not required to have a compliance
program.
A. True
B. False - Answer: B. False
Ways to report a compliance issue include:
Page 1 of 6
, A. Telephone hotlines
B. Report on the Sponsor's website
C. In-person reporting to compliance departments/supervisor
D. All the above - Answer: D. All the above
At a minimum, an effective compliance program includes four core requirements.
A. True
B. False - Answer: B. False
Once a corrective action plan begins addressing non-compliance or Fraud, Waste
and Abuse(FWA) committed by a Sponsor's employee (CVS Health colleague) or
First-Tier, Downstream or Related Entity's (FDR's) employee ongoing monitoring of
the corrective actions is not necessary.
A. True
B. False - Answer: B. False
What are some of the consequences for non-compliance, fraudulent, or unethical
behavior?
A. Disciplinary action
B. Termination of employment
C. Exclusion from participation in all Federal health care programs
D. All the above - Answer: D. All the above
Standards of Conduct (Code of Conduct) are the same for every Medicare Parts C
and D Sponsor.
Page 2 of 6