Author Question: Define Medigap insurance. What will be an ideal response?[br][br][b][color=gray]Question ... (Read 47 times)

mikaylakyoung · **on:** Jun 27, 2018

Define Medigap insurance.

What will be an ideal response?

Question 2

List three of the seven elements of a compliance program.

What will be an ideal response?

SomethingSomething · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

Answer: Medigap is Medicare supplemental insurance that is sold by private insurance companies. It fills in the gap in Part A and B coverage. Medigap policies only apply to the original Medicare. They do not apply to Part C Medicare.

Answer to Question 2

Answer:

Develop and distribute written standards of conduct, policies, and procedures that address specific areas of potential fraud.
Designate a high-level manager to be the chief compliance officer who oversees compliance activities.
Develop and implement education and training for employees.
Establish a process for reporting exceptions.
Develop an internal system to respond to accusations or reports of improper activities, and implement disciplinary measures when appropriate.
Develop of an audit and monitoring system.
Investigate and correct system-wide problems and the develop policies regarding employment or retention of sanctioned individuals.