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
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
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.3 Introduction
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.4 Introduction
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.5 Introduction
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.6 Why Do I Need Training?
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.7 Training Requirements
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.8 Learn More
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.9 Course Content
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.10 Course Objectives
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.11 Introduction and Learning Objectives
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.12 Compliance Program Requirement
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.13 What is an Effective Compliance Program?
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.14 What is an Effective Compliance Program? (continued)
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.15 Seven Core Compliance Program Requirements
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.16 Seven Core Compliance Program Requirements (continued)
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.17 Seven Core Compliance Program Requirements (continued)
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.18 Compliance Training - Sponsors and their FDRs
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.19 Ethics - Do the Right Thing!
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.20 How Do You Know What Is Expected of You?
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.21 What is Non-Compliance?
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.22 What is Non-Compliance? (continued)
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.23 Know the Consequences
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.24 Non-Compliance Affects Everybody
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.25 How to Report Potential Non-Compliance
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.26 How to Report Potential Non-Compliance (continued)
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.27 What Happens After Non-Compliance is Detected?
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.28 What Are Internal Monitoring and Audits?
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.29 Lesson Summary
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.30 Compliance Is Everyone's Responsibility
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.31 Lesson Review
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.32 Knowledge Check
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.33 Knowledge Check Answer
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.34 Knowledge Check
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.35 Knowledge Check Answer
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.36 Knowledge Check
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.37 Knowledge Check Answer
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.38 Knowledge Check
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.39 Knowledge Check Answer
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.40 You've completed the lesson!
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
1.41 Post-Assessment
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
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
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
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
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
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
Published by Articulate® Storyline www.articulate.com 2017 CMS General Compliance Training
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
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
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
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
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