Who's who
Who you gonna call?
Where's Waldo
What if's
What not to do
100
Nirali Patel
Who is the Medicare Compliance Officer?
100
1-877-386-6680
What is our toll free number to report Fraud, Waste & Abuse?
100
S:/drive under "Corporate Compliance Program"
What is the location of UHC's most recent Corporate Compliance Plan, Code of Ethics and Anti-Fraud Program?
100
Control, Alt, Delete
What is the contol to lock your computer?
100
"Go ahead and give Medicare a call..."
What should you not say to a beneficiary?
200
Michael Holohan
Who is the Executive Vice President of Operations?
200
http://www.univhc.com/about/quality/fwa.php
What is the web address to anonymously submit a FWA report to UHC?
200
S:\P & Ps\2011 P&P\Sales and Marketing\Telesales
What is the path to locate electronic versions of Telesales Policy and Procedures? (Hard copies are located on top of the filing cabinet in front of Matt Dixon and Nichole Creadon’s offices)
200
"Please hold on the line for an interpreter."
What should be said if someone calls in and requires the use of an interpreter?
200
"Mrs. Smith, I am returning your call. Let's go ahead and get you enrolled in the plan!"
What is an outbound enrollment?
300
Sandip Patel
Who is the Chief Administrative Officer & General Counsel (CAO)?
300
Medicare or Medicaid Compliance Officer Special Investigations Unit Universal Health Care 100 Central Avenue, Suite 200 St. Petersburg, FL 33701
What is the mailing address to report a compliance or Fraud, Waste & Abuse concern?
300
Main entrance
Where do all associates, and visitors, enter and exit UHC?
300
"Place PHI in a locked drawer, or turn documents upside down so that the PHI is not visible."
What to do if walking away from your desk or leaving for the day?
300
"Sure, I can give your brother a call and talk to him about the plan. Give me his number!"
What is an improper referral?
400
Jeffrey Kee
Who is the Senior Director of Medical Compliance?
400
727-497-6309
What is the number for the Special Investigations Unit (SIU)?
400
Associate Intranet>Corporate Compliance Program
Where is the Corporate Compliance Website?
400
Immediately contact your manager, SIU, Medicare Compliance Officer or anonymously call the UHC hotline.
What is the process for reporting non-compliance or Fraud, Waste and Abuse?
400
"I am required to read all of the benefits to you but if you tell me you don't want me to, we can skip that part."
What is the incorrect way for a beneficiary to waive their right to hear the summary of benefits?
500
Talia Duany
Who is the Director of Compliance?
500
Board of Directors, CEO, General Counsel, and the Compliance Officer, CMS designee, State Agency (AHCA), MPI, OIG, and/or law enforcement for action?
To whom does Universal Health Care report instances of non-compliance and Fraud, Waste and Abuse?
500
Tallahassee, FL
Where are our regulating agencies located?
500
"That is a very good question. May I discuss with my manager and get back to you?"
What should you say if asked a question by a CMS auditor and unsure of the answer?
500
"Mr. Smith you have medicare and medicaid? Great! That gives you an SEP and you can enroll in our PFFS plan in your area!"
What is the incorrect thing to say to a dual eligible beneficiary?
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