ENCCPLAOIM
What is COMPLIANCE?
Examples of these include: leaving associate ID visibly unattended, leaving a key in a lockable unit, having an unlocked computer screen displayed and unattended.
What are Privacy Infractions?
The Integrity team prepares this annually, which outlines their scheduled activities for the year.
What is the Auditing and Monitoring Plan?
CMS uses these memos to provide clarity to stakeholders and publish updated guidance.
What are HPMS memos?
The "I" in CIQA stands for this.
What is "Integrity"?
MCS
What is a CMS?
Associates must report suspected privacy incidents using this online tool.
What is NAVEX?
This assessment is conducted annually by the Integrity team to identify potential threats to the organization.
What is a Risk Assessment?
Information on Negative Formulary Changes can be found in this Chapter of the Medicare Prescription Drug Benefit Manual?
What is Chapter 6?
HARBEC
What is BREACH?
This is the acronym for the Federal Health Insurance Portability and Accountability Act of 1996
What is HIPAA?
This is another term for unplanned auditing and monitoring activities.
What is "ad hoc" auditing and monitoring?
According to Chapter 9 of the Medicare Prescription Drug Benefit Plan, there are this many elements to an effective compliance program?
What is are 7 elements?
PerformRx Compliance uses this process to remediate issues of non-compliance.
What is the corrective action process (CAP)?
TIDUA
What is AUDIT?
When emailing PHI outside of the organization, associates must type this in the subject header.
What is #secure?
This annual communication is published by CMS each year and is considered to be the most important communication to govern the Part D space for the coming year.
What is the Call Letter?
XNAEV
What is NAVEX?
The abbreviation PHI stands for this.
What is Protected Health Information?
Information about Coverage Determinations, Grievances, and Appeals can be found in this Chapter of the Prescription Drug Benefit Manual.
What is the Chapter 18.