Across
- 1. wrongful or criminal deception intended to result in financial or personal gain.
- 4. where policies are housed
- 6. how often the Compliance Committee meets
- 7. FDR stands for First tier, Downstream, and Related __
- 8. Compliance Officer
- 9. Michigan has Local and __ delegates
- 10. elements of a compliance program
Down
- 2. Health Insurance Portability and __ Act
- 3. Meridian is contracted with __ Prepaid Inpatient Health Plans
- 4. Practices that are inconsistent with sound fiscal, business, or medical practices, and result in unnecessary cost to the health plan.
- 5. The incorrect submission of claims due to factors such as uneducated office staff, coding illiteracy, staff turnover, or keying errors.
- 7. who is responsible for compliance?