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Medicare Fraud, Waste and Abuse FWA Form
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which of the following requires intent to obtain payment and acknowledge the actions are wrong?
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People also ask
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What are some of the penalties for violating FWA laws Quizlet?
Fraud, Waste, and Abuse or FWA is a federal crime and its penalties include: disciplinary action, including termination. civil monetary penalties, and. criminal convictions and fines.
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Which of the following are our responsibilities with respect to FWA prevention?
You are responsible in complying with all federal and state laws and regulations, company policies and procedures, and the company compliance program. You are responsible for reporting any violations to the laws, regulations, policies and procedures, and to the company's compliance program.
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Does CMS require FWA training?
Anyone who provides health or administrative services to Medicare enrollees must satisfy general compliance and FWA training requirements. You may use this course to satisfy the general compliance training requirements. This course consists of one lesson and a Post-Assessment.
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What is the difference between fraud and waste vs abuse?
► Fraud—an attempt to obtain something valuable through intentional misinterpretation. ► Waste—misuse of funds or resources through excessive or nonessential expenditures. ► Abuse—occurs when there is an intentional and unacceptable use of grant funds or misuse of one's position.
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Which of the following penalties are associated with violation of FWA laws?
Laws and regulations exist that prohibit FWA. Penalties for violating these laws may include: Civil Monetary Penalties; • Civil prosecution; • Criminal conviction/fines; • Exclusion from participation in all Federal health care programs; • Imprisonment; or • Loss of provider license.
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Which of the following are the ways to report potential FWA UHC?
Report suspected fraud or abuse Call the number on your ID card. Call 1-844-359-7736 if you're a UnitedHealthcare member. Call 1-800-MEDICARE if you're a Medicare member.
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What is the primary difference between fraud, waste, and abuse (FWA)?
Fraud, Waste, & Abuse Differences One of the primary differences is intent and knowledge. Fraud requires intent to get payment and knowledge the actions are wrong. Waste and abuse may involve getting an improper payment or creating unnecessary Medicare Program costs but don't require the same intent and knowledge.
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Which of the following are consequences of not reporting potential Medicare FWA?
Penalties for violating these laws may include: Civil Monetary Penalties; • Civil prosecution; • Criminal conviction/fines; • Exclusion from participation in all Federal health care programs; • Imprisonment; or • Loss of provider license.
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