Section VI - Quiz

5 Questions | Total Attempts: 102

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Section VI - Quiz

INDIVIDUAL RESPONSIBILITY FOR ACCURATE CLAIMS


Questions and Answers
  • 1. 
    As a C.M.S. employee, which of the following best describes your legal responsibilities for any false claims submitted by C.M.S. to federal health care programs?
    • A. 

      You have no legal responsibilities because you are just an employee

    • B. 

      You are potentially criminally and civilly liable if you learn about a false claim before or after it is submitted, but you fail to report the claim to your supervisor

    • C. 

      You are only potentially criminally and civilly liable if you help submit a false claim with the intent to defraud the government

    • D. 

      You cannot be held legally responsible for any C.M.S. false claims unless you received or directly benefited from the money paid on such claims

  • 2. 
    As a C.M.S. employee, which best describes the consequences of failing to report an incorrect claim to your supervisor or C.M.S.’s compliance contact?   
    • A. 

      There are no consequences

    • B. 

      If you fail to report your concern, you may be criminally or civilly liable

    • C. 

      If you report your concern, you can still be held liable for the false claim

    • D. 

      If you report your concern, you may be disciplined or fired if your concern ends up being factually unsupported

  • 3. 
    Each C.M.S. employee has an individual responsibility for reporting any activity by another employee, physician, subcontractor, or vendor that appears to violate which of the following:
    • A. 

      Applicable laws, rules, and regulations

    • B. 

      Accreditation standards or standards of medical practice

    • C. 

      Federal health care program conditions of payment or participation

    • D. 

      All of the above

  • 4. 
    If you report a C.M.S. claim to your supervisor that you believe is false or inaccurate, but nothing happens, you should report the potentially false claim to which of the following:  
    • A. 

      C.M.S.’s compliance contact

    • B. 

      C.M.S.’s Ethics Line ((949) 724-9750)

    • C. 

      Hooper, Lundy & Bookman, P.C.

    • D. 

      Any one of the above

  • 5. 
    C.M.S. is committed to ethical and legal conduct that is compliant with all relevant laws and regulations and to correcting wrongdoing wherever it may occur in the organization. 
    • A. 

      True

    • B. 

      False

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