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    Medicare and Medicaid General Compliance Training Flashcards

    Study with Quizlet and memorize flashcards terms like Ways to report a compliance issue include: Select the correct answer., Medicare Parts C and D plan Sponsors are not required to have a compliance program., At a minimum, an effective compliance program includes four core requirements. and more.

    Medicare and Medicaid General Compliance Training

    5.0 1 Review

    Ways to report a compliance issue include:

    Select the correct answer.

    Click card to see definition 👆

    Telephone hotlines

    Report on the Sponsor's website

    In-person reporting to the compliance department/supervisor

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    Medicare Parts C and D plan Sponsors are not required to have a compliance program.

    Click card to see definition 👆

    False

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    1/10 Created by quizlette1885160

    Terms in this set (10)

    Ways to report a compliance issue include:

    Select the correct answer.

    Telephone hotlines

    Report on the Sponsor's website

    In-person reporting to the compliance department/supervisor

    Medicare Parts C and D plan Sponsors are not required to have a compliance program.

    False

    At a minimum, an effective compliance program includes four core requirements.

    False

    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

    False

    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.

    True

    Standards of Conduct are the same for every Medicare Parts C and D Sponsor.

    False

    What are some of the consequences for non-compliance, fraudulent, or unethical behavior?

    Disciplinary action

    Termination of employment

    Exclusion from participation in all Federal health care programs

    What is the policy of non-retaliation?

    Protects employees who, in good faith, report suspected non-compliance

    Compliance is the responsibility of the Compliance Officer, Compliance Committee, and Upper Management only.

    False

    Correcting non-compliance ______________.

    Protects enrollees, avoids recurrence of the same non-compliance, and promotes efficiency

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    Verified questions

    QUESTION

    Suppose you believe that the economy is just entering a recession. Your firm must raise capital immediately, and debt will be used. Should you borrow on a long-term or a short-term basis? Why?

    Verified answer QUESTION

    Find the future values of the following ordinary annuities: a. FV of $400 paid each 6 months for 5 years at a nominal rate of 12% compounded semiannually. b. FV of$200 paid each 3 months for 5 years at a nominal rate of 12% compounded quarterly. c. These annuities receive the same amount of cash during the 5-year period and earn interest at the same nominal rate, yet the annuity in part b ends up larger than the one in part a. Why does this occur?

    Verified answer QUESTION

    Suppose you are the money manager of a

    4.82 million investment fund. The fund consists of four stocks with the following investments and betas:

    4.82millioninvestmentfund.Thefundconsistsoffourstockswiththefollowinginvestmentsandbetas:

    \begin{matrix} \text{Stock} & \text{Investment} & \text{Beta}\\ \text{A} & \text{\$ 460.000} & \text{1.50}\\ \text{B} & \text{500.000} & \text{(0.50)}\\ \text{C} & \text{1.260.000} & \text{1.25}\\ \text{D} & \text{2.600.000} & \text{0.75}\\ \end{matrix}

    Stock A B C D ​ Investment $ 460.000 500.000 1.260.000 2.600.000 ​ Beta 1.50 (0.50) 1.25 0.75 ​

    $ If the market’s required rate of return is 8% and the risk-free rate is 4%, what is the fund’s required rate of return?

    Verified answer QUESTION

    Adamson Corporation is considering four average-risk projects with the following costs and rates of return: $$ \begin{matrix} \text{Project } & \text{Cost} & \text{Expected Rate of Return}\\ \text{1} & \text{\$ 2.000} & \text{16.00\\%}\\ \text{2} & \text{3.000} & \text{15.00}\\ \text{3} & \text{5.000} & \text{13.78}\\ \text{4} & \text{2.000} & \text{12.50}\\ \end{matrix} $$ The company estimates that it can issue debt at a rate of $\mathrm{r}_{\mathrm{d}}=10 \%$, and its tax rate is 30%. It can issue preferred stock that pays a constant dividend of $5.00 per year at$50.00 per share. Also, its common stock currently sells for $38.00 per share; the next expected dividend, [math]D_1[/math], is$4.25, and the dividend is expected to grow at a constant rate of 5% per year. The target capital structure consists of 75% common stock, 15% debt, and 10% preferred stock. a. What is the cost of each of the capital components? b. What is Adamson’s WACC? c. Only projects with expected returns that exceed WACC will be accepted. Which projects should Adamson accept?

    Source : quizlet.com

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    General Compliance Training Test

    General Compliance Training Test

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