Section III - Quiz

5 Questions | Total Attempts: 147

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Section III - Quiz

SELF-DISCLOSURE OF OVERPAYMENTS FROM FEDERAL HEALTH PROGRAMS


Questions and Answers
  • 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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