CCT - Certified Compliance Technician OIG Compliance Guidance Questions and Answers

Question 1

A small physician practice is developing a compliance program based on OIG guidance. Which of the following is one of the seven fundamental elements they should implement?

Accepted Answer

Establishing a process for internal monitoring and auditing.

Answer

Purchasing the most expensive Electronic Health Record system.

Answer

Hiring a marketing firm to increase patient volume.

Answer

Offering bonuses to billing staff based on the volume of claims processed.

Question 2

A hospital compliance officer discovers a pattern of incorrect billing for a specific procedure. According to OIG Compliance Guidance, which of the following actions is the most appropriate initial response?

Accepted Answer

Developing a corrective action plan and responding to the detected offense.

Answer

Immediately terminating the employees responsible.

Answer

Ignoring the issue unless a government audit occurs.

Answer

Reporting the issue to the local news to ensure transparency.

Question 3

Which of the following scenarios would most likely trigger a *mandatory* exclusion from federal healthcare programs by the OIG?

Accepted Answer

A felony conviction for healthcare fraud related to Medicare.

Answer

A misdemeanor conviction for defaulting on a health education loan.

Answer

Losing a medical license for reasons of professional incompetence.

Answer

Submitting a few accidentally upcoded claims that are later corrected.

Question 4

A new medical device company wants to enter into a financial arrangement with physicians to promote its product. To mitigate risks associated with the Anti-Kickback Statute, the company could request a formal opinion from which agency?

Accepted Answer

The Office of Inspector General (OIG)

Answer

The Centers for Medicare & Medicaid Services (CMS)

Answer

The Food and Drug Administration (FDA)

Answer

The Department of Justice (DOJ)

Question 5

The OIG's Compliance Program Guidance is considered:

Accepted Answer

A voluntary framework that provides recommendations and best practices.

Answer

Mandatory for all healthcare providers, with criminal penalties for non-adoption.

Answer

Applicable only to large hospital systems and not small physician practices.

Answer

A set of regulations that is updated and re-issued annually by Congress.

Question 6

According to the OIG's seven elements of an effective compliance program, what is a key purpose of developing open lines of communication?

Accepted Answer

To allow for anonymous and confidential reporting of compliance concerns without fear of retaliation.

Answer

To publicize the organization's marketing and public relations efforts.

Answer

To fulfill a requirement for the annual employee performance review process.

Answer

To provide a forum for employees to negotiate their salaries and benefits.