Section III - Quiz
SELF-DISCLOSURE OF OVERPAYMENTS FROM FEDERAL HEALTH PROGRAMS
- 1.A provider has a legal duty to report and refund a Medicare or Medi-Cal overpayment within how many days after the date on which such overpayment was identified?
- A.
7 days
- B.
14 days
- C.
30 days
- D.
60 days
- 2.Under the federal False Claims Act, a Medicare or Medi-Cal overpayment knowingly retained by a provider past the legal deadline for reporting and refunding such overpayment can be a false claim subject to treble damages and a mandatory civil penalty
- A.
True
- B.
False
- 3.Under the OIG’s Self-Disclosure Protocol, which of the following is not required to be included in a provider’s initial self-disclosure:
- A.
A complete description of the conduct being disclosed by the provider
- B.
A description of the provider’s financial self-assessment and methodology used to estimate the monetary impact of the disclosed conduct
- C.
A provider’s recommendation about which employees should be held responsible for the disclosed conduct
- D.
A description of the provider’s internal investigation
- 4.If an overpayment from a federal health care program was the result of a false claim (and not merely an innocent mistake), the provider’s disclosure should ordinarily be made to which of the following agencies:
- A.
The Medicare Administrative Contractor
- B.
The Office of Inspector General (OIG)
- C.
The U.S. Department of Justice
- D.
The Federal Bureau of Investigation
- 5.Once a provider is accepted into the OIG’s self-disclosure program, the provider may repay the overpayment:
- A.
Immediately
- B.
Only with the OIG’s approval, which typically occurs only when the self-disclosure is complete and the total overpayment amount is agreed upon by the provider, the federal health care program, and the OIG
- C.
Within 60 days of entering the self-disclosure program
- D.
As soon as the provider puts the money into an interest-bearing escrow account
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