Test 5 Part 27

Question 1

Under the Corporate Compliance Programs fines and penalties reduced to organizations found ______ of fraud if organization has a fraud prevention and detection program in place

Answer 1

Guility

Question 2

Helps organizations identify problems and improve performance and avoid a corporate integrity agreement (program imposed by government with oversight and outside expert involvement)

Answer 2

Corporate Compliance Programs

Question 3

Corporate Compliance Program requires a ____________ that is responsible for overseeing processes that promote an organization’s ethical business practices and its conformity to federal, state, and private payer program requirements

Answer 3

compliance officer

Question 4

Deficit Reduction Act of 2005 transitioned compliance programs from ________ to ________

Answer 4

voluntary to mandatory

Question 5

Deficit Reduction Act of 2005 Contains employee education about ___________ provision

Answer 5

False Claims Recovery (FCR)

Question 6

Deficit Reduction Act of 2005 __________ must provide
Detailed information about the FCA
Administrative remedies for false claims and statements
Any state laws pertaining to civil or criminal penalties for false claims and statements
Whistleblower protections

Answer 6

Written policy

Question 7

________________ requires any entity that annually receives or makes at least $5 million in Medicaid payments to establish written policies for all employees of the entity (including management) and for any contractor or agent of the entity

Answer 7

Employee education provision

Question 8

Deficit Reduction Act of 2005 as detailed provisions regarding the entity’s policies and procedures for __________ and preventing fraud, waste, and abuse

Answer 8

detecting