2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline...
Transcript of 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline...
![Page 1: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/1.jpg)
Published by Articulate® Storyline www.articulate.com
2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key
1. Welcome
1.1 Combating Medicare Parts C and D Fraud, Waste, and Abuse (FWA)
![Page 2: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/2.jpg)
Published by Articulate® Storyline www.articulate.com
2. Training Overview
2.1 Training Overview
![Page 3: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/3.jpg)
Published by Articulate® Storyline www.articulate.com
2.2 Training Overview
![Page 4: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/4.jpg)
Published by Articulate® Storyline www.articulate.com
2.3 Training Overview
Note: For paper versions of the training, the Key Terms and Acronyms resource is located at the
end of this document.
![Page 5: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/5.jpg)
Published by Articulate® Storyline www.articulate.com
2.4 Training Overview
![Page 6: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/6.jpg)
Published by Articulate® Storyline www.articulate.com
2.5 Training Overview
![Page 7: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/7.jpg)
Published by Articulate® Storyline www.articulate.com
2.6 Training Overview
![Page 8: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/8.jpg)
Published by Articulate® Storyline www.articulate.com
2.7 Training Overview
![Page 9: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/9.jpg)
Published by Articulate® Storyline www.articulate.com
3. Lesson 1
3.1 Lesson 1: What is FWA?
![Page 10: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/10.jpg)
Published by Articulate® Storyline www.articulate.com
3.2 Lesson 1: What is FWA?
![Page 11: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/11.jpg)
Published by Articulate® Storyline www.articulate.com
3.3 Lesson 1: What is FWA?
![Page 12: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/12.jpg)
Published by Articulate® Storyline www.articulate.com
3.4 Lesson 1: What is FWA?
![Page 13: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/13.jpg)
Published by Articulate® Storyline www.articulate.com
3.5 Lesson 1: What is FWA?
![Page 14: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/14.jpg)
Published by Articulate® Storyline www.articulate.com
3.6 Lesson 1: What is FWA?
![Page 15: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/15.jpg)
Published by Articulate® Storyline www.articulate.com
3.7 Lesson 1: What is FWA?
![Page 16: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/16.jpg)
Published by Articulate® Storyline www.articulate.com
3.8 Lesson 1: What is FWA?
![Page 17: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/17.jpg)
Published by Articulate® Storyline www.articulate.com
3.9 Lesson 1: What is FWA?
![Page 18: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/18.jpg)
Published by Articulate® Storyline www.articulate.com
3.10 Lesson 1: What is FWA?
![Page 19: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/19.jpg)
Published by Articulate® Storyline www.articulate.com
3.11 Lesson 1: What is FWA?
![Page 20: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/20.jpg)
Published by Articulate® Storyline www.articulate.com
3.12 Lesson 1: What is FWA?
![Page 21: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/21.jpg)
Published by Articulate® Storyline www.articulate.com
3.13 Lesson 1: What is FWA?
![Page 22: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/22.jpg)
Published by Articulate® Storyline www.articulate.com
3.14 Lesson 1: What is FWA?
![Page 23: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/23.jpg)
Published by Articulate® Storyline www.articulate.com
3.15 Lesson 1: What is FWA?
![Page 24: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/24.jpg)
Published by Articulate® Storyline www.articulate.com
3.16 Lesson 1: What is FWA?
![Page 25: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/25.jpg)
Published by Articulate® Storyline www.articulate.com
3.17 Lesson 1: What is FWA?
![Page 26: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/26.jpg)
Published by Articulate® Storyline www.articulate.com
3.18 Lesson 1: What is FWA?
![Page 27: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/27.jpg)
Published by Articulate® Storyline www.articulate.com
3.19 Lesson 1: What is FWA?
![Page 28: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/28.jpg)
Published by Articulate® Storyline www.articulate.com
3.20 Lesson 1: What is FWA?
![Page 29: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/29.jpg)
Published by Articulate® Storyline www.articulate.com
3.21 Lesson 1: What is FWA?
![Page 30: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/30.jpg)
Published by Articulate® Storyline www.articulate.com
3.22 Lesson 1: What is FWA?
![Page 31: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/31.jpg)
Published by Articulate® Storyline www.articulate.com
3.23 Lesson 1: What is FWA?
![Page 32: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/32.jpg)
Published by Articulate® Storyline www.articulate.com
3.24 Lesson 1: What is FWA?
![Page 33: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/33.jpg)
Published by Articulate® Storyline www.articulate.com
3.25 Lesson 1: What is FWA?
![Page 34: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/34.jpg)
Published by Articulate® Storyline www.articulate.com
3.26 Lesson 1 Knowledge Check
Correct Choice
X A. Fraud
B. Waste
C. Abuse
![Page 35: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/35.jpg)
Published by Articulate® Storyline www.articulate.com
Correct Choice
A. Civil Monetary Penalties
X B. Deportation
C. Exclusion from participation in all Federal health care programs
![Page 36: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/36.jpg)
Published by Articulate® Storyline www.articulate.com
3.27 Lesson 1: What is FWA?
![Page 37: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/37.jpg)
Published by Articulate® Storyline www.articulate.com
4. Lesson 2
4.1 Lesson 2: Your Role in the Fight Against FWA
![Page 38: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/38.jpg)
Published by Articulate® Storyline www.articulate.com
4.2 Lesson 2: Your Role in the Fight Against FWA
![Page 39: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/39.jpg)
Published by Articulate® Storyline www.articulate.com
4.3 Lesson 2: Your Role in the Fight Against FWA
![Page 40: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/40.jpg)
Published by Articulate® Storyline www.articulate.com
4.4 Lesson 2: Your Role in the Fight Against FWA
![Page 41: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/41.jpg)
Published by Articulate® Storyline www.articulate.com
4.5 Lesson 2: Your Role in the Fight Against FWA
![Page 42: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/42.jpg)
Published by Articulate® Storyline www.articulate.com
4.6 Lesson 2: Your Role in the Fight Against FWA
![Page 43: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/43.jpg)
Published by Articulate® Storyline www.articulate.com
4.7 Lesson 2: Your Role in the Fight Against FWA
![Page 44: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/44.jpg)
Published by Articulate® Storyline www.articulate.com
4.8 Lesson 2: Your Role in the Fight Against FWA
![Page 45: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/45.jpg)
Published by Articulate® Storyline www.articulate.com
4.9 Lesson 2: Your Role in the Fight Against FWA
![Page 46: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/46.jpg)
Published by Articulate® Storyline www.articulate.com
4.10 Lesson 2: Your Role in the Fight Against FWA
![Page 47: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/47.jpg)
Published by Articulate® Storyline www.articulate.com
4.11 Lesson 2: Your Role in the Fight Against FWA
![Page 48: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/48.jpg)
Published by Articulate® Storyline www.articulate.com
4.12 Lesson 2: Your Role in the Fight Against FWA
![Page 49: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/49.jpg)
Published by Articulate® Storyline www.articulate.com
4.13 Lesson 2: Your Role in the Fight Against FWA
![Page 50: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/50.jpg)
Published by Articulate® Storyline www.articulate.com
4.14 Lesson 2: Your Role in the Fight Against FWA
![Page 51: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/51.jpg)
Published by Articulate® Storyline www.articulate.com
4.15 Lesson 2: Your Role in the Fight Against FWA
![Page 52: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/52.jpg)
Published by Articulate® Storyline www.articulate.com
4.16 Lesson 2: Your Role in the Fight Against FWA
![Page 53: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/53.jpg)
Published by Articulate® Storyline www.articulate.com
4.17 Lesson 2: Your Role in the Fight Against FWA
![Page 54: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/54.jpg)
Published by Articulate® Storyline www.articulate.com
4.18 Lesson 2: Your Role in the Fight Against FWA
![Page 55: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/55.jpg)
Published by Articulate® Storyline www.articulate.com
4.19 Lesson 2: Your Role in the Fight Against FWA
![Page 56: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/56.jpg)
Published by Articulate® Storyline www.articulate.com
4.20 Lesson 2: Your Role in the Fight Against FWA
![Page 57: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/57.jpg)
Published by Articulate® Storyline www.articulate.com
4.21 Lesson 2: Your Role in the Fight Against FWA
![Page 58: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/58.jpg)
Published by Articulate® Storyline www.articulate.com
4.22 Lesson 2: Your Role in the Fight Against FWA
![Page 59: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/59.jpg)
Published by Articulate® Storyline www.articulate.com
4.23 Lesson 2: Your Role in the Fight Against FWA
![Page 60: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/60.jpg)
Published by Articulate® Storyline www.articulate.com
4.24 Lesson 2: Your Role in the Fight Against FWA
![Page 61: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/61.jpg)
Published by Articulate® Storyline www.articulate.com
4.25 Lesson 2 Knowledge Check
Correct Choice
A. Fill the prescription for 160
B. Fill the prescription for 60
X C. Call the prescriber to verify the quantity
D. Call the Sponsor’s compliance department
E. Call law enforcement
![Page 62: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/62.jpg)
Published by Articulate® Storyline www.articulate.com
Correct Choice
A. Do what your immediate supervisor asked you to do and adjust or add
risk diagnosis codes
X B. Report the incident to the compliance department (via compliance
hotline or other mechanism)
C. Discuss your concerns with your immediate supervisor
D. Call law enforcement
![Page 63: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/63.jpg)
Published by Articulate® Storyline www.articulate.com
Correct Choice
A. Call Doe Diagnostics and request additional information for the claims
X B. Consult with your immediate supervisor for next steps or contact the
compliance department (via compliance hotline, Special Investigations
Unit, or other mechanism)
C. Reject the claims
D. Pay the claims
![Page 64: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/64.jpg)
Published by Articulate® Storyline www.articulate.com
Correct Choice
A. Call local law enforcement
B. Perform another review
C. Contact your compliance department (via compliance hotline or other
mechanism)
D. Discuss your concerns with your supervisor
X E. Follow your pharmacy’s procedures
![Page 65: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/65.jpg)
Published by Articulate® Storyline www.articulate.com
4.26 Lesson 2: Your Role in the Fight Against FWA
![Page 66: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/66.jpg)
Published by Articulate® Storyline www.articulate.com
5. Post-assessment
5.1 Post-assessment
![Page 67: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/67.jpg)
Published by Articulate® Storyline www.articulate.com
5.2 Post-assessment
![Page 68: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/68.jpg)
Published by Articulate® Storyline www.articulate.com
Question 1 of 10
Correct Choice
True
X False
![Page 69: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/69.jpg)
Published by Articulate® Storyline www.articulate.com
Question 2 of 10
Correct Choice
A. Telephone hotlines
B. Mail drops
C. In-person reporting to the compliance department/supervisor
D. Special Investigations Units
X E. All of the above
![Page 70: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/70.jpg)
Published by Articulate® Storyline www.articulate.com
Question 3 of 10
Correct Choice
True
X False
![Page 71: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/71.jpg)
Published by Articulate® Storyline www.articulate.com
Question 4 of 10
Correct Choice
X True
False
![Page 72: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/72.jpg)
Published by Articulate® Storyline www.articulate.com
Question 5 of 10
Correct Choice
X True
False
![Page 73: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/73.jpg)
Published by Articulate® Storyline www.articulate.com
Question 6 of 10
Correct Choice
X True
False
![Page 74: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/74.jpg)
Published by Articulate® Storyline www.articulate.com
Question 7 of 10
Correct Choice
X True
False
![Page 75: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/75.jpg)
Published by Articulate® Storyline www.articulate.com
Question 8 of 10
Correct Choice
X True
False
![Page 76: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/76.jpg)
Published by Articulate® Storyline www.articulate.com
Question 9 of 10
Correct Choice
X True
False
![Page 77: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/77.jpg)
Published by Articulate® Storyline www.articulate.com
Question 10 of 10
Correct Choice
A. Civil Monetary Penalties
B. Imprisonment
C. Exclusion from participation in all Federal health care programs
X D. All of the above
![Page 78: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/78.jpg)
Published by Articulate® Storyline www.articulate.com
5.14 Prime Therapeutics’ Reporting Methods
![Page 79: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/79.jpg)
Published by Articulate® Storyline www.articulate.com
5.15 Thank you for completing the course!
![Page 80: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/80.jpg)
Published by Articulate® Storyline www.articulate.com
Acronyms
AIDS: Acquired Immune Deficiency Syndrome
CFR: Code of Federal Regulations
CMP: Civil Monetary Penalties
CMS: Centers for Medicare & Medicaid Services
DME: Durable Medical Equipment
DMEPOS: Durable Medical Equipment, Prosthetics, Orthotics and Supplies
DOJ: Department of Justice
EPLS: Excluded Parties List System
FCA: False Claims Act
FDR: First-tier, Downstream, and Related Entity
FEP: Federal Employee Program
FWA: Fraud, Waste, and Abuse
GSA: General Services Administration
HHS: U.S Department of Health & Human Services
HIPAA: Health Insurance Portability and Accountability Act
LEIE: List of Excluded Individuals and Entities
MA: Medicare Advantage
MAC: Medicare Administrative Contractor
MA-PD: Medicare Advantage Prescription Drug
MAO: Medicare Advantage Organizations
NBI MEDIC: National Benefit Integrity Medicare Drug Integrity Contractor
NPI: National Provider Identifier
OIG: Office of Inspector General
PBM: Pharmacy Benefit Manager
PDP: Prescription Drug Plan
SAM: System for Award Management
SDP: Self-Disclosure Protocol
SIU: Special Investigations Unit
![Page 81: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/81.jpg)
Published by Articulate® Storyline www.articulate.com
Key Terms
Abuse: Abuse includes actions that may, directly or indirectly, result in: unnecessary costs to the
Medicare Program, improper payment, payment for services that fail to meet professionally
recognized standards of care, or services that are medically unnecessary. Abuse involves
payment for items or services when there is no legal entitlement to that payment and the provider
has not knowingly and/or intentionally misrepresented facts to obtain payment. Abuse cannot be
differentiated categorically from fraud, because the distinction between “fraud” and “abuse”
depends on specific facts and circumstances, intent and prior knowledge, and available evidence,
among other factors.
Fraud: Fraud is knowingly and willfully executing, or attempting to execute, a scheme or artifice
to defraud any health care benefit program or to obtain, by means of false or fraudulent pretenses,
representations, or promises, any of the money or property owned by, or under the custody or
control of, any health care benefit program. Fraud is intentionally submitting false information to
the Government or Government contractor to get money or a benefit.
Medicare Part C: Medicare Part C, or Medicare Advantage (MA), is a health insurance option
available to Medicare beneficiaries, run by private, Medicare-approved insurance companies.
These companies arrange for, or directly provide health care services to the beneficiaries who
enroll in an MA plan. MA plans must cover all services that Medicare covers with the exception of
hospice care. They provide Part A and Part B benefits and may also include prescription drug
coverage and other supplemental benefits.
Medicare Part D: Medicare Part D, the Prescription Drug Benefit, provides prescription drug
coverage to Medicare beneficiaries enrolled in Part A and/or Part B who enroll in a Medicare
Prescription Drug Plan (PDP) or an MA Prescription Drug (MA-PD) plan. Medicare-approved
insurance and other companies provide prescription drug coverage to individuals living in a plan’s
services area.
Waste: Waste is the overutilization of services, or other practices that, directly or indirectly, result
in unnecessary costs to the Medicare program. Waste is generally not considered to be caused
by criminally negligent actions but rather by the misuse of resources.
![Page 82: 2019 Fraud, Waste, and Abuse External Training, Quiz, and ......Published by Articulate® Storyline 2019 Fraud, Waste, and Abuse_External Training, Quiz, and Key 1. Welcome 1.1 Combating](https://reader033.fdocuments.in/reader033/viewer/2022041913/5e6868f0c815e802237a03fe/html5/thumbnails/82.jpg)
Published by Articulate® Storyline www.articulate.com
Whistleblower: A whistleblower is a person who exposes information or activity that is deemed
illegal, dishonest, or violates professional or clinical standards.