You work for a Sponsor. Last month, while reviewing a Centers for Medicare & Medicaid Services (CMS) monthly report, you identified multiple individuals not enrolled in the plan but for whom the Sponsor is paid. You spoke to your supervisor who said don’t worry about it. This month, you identify the same enrollees on the report again. What should you do?
Although you know about the Sponsor’s non-retaliation policy, you are still nervous about reporting—to be safe, you submit a report through your compliance department’s anonymous tip line to avoid identification