CCT Seven Elements of Compliance 2

Question 1

Which OIG guidance document first established the Seven Elements of an Effective Compliance Program for healthcare organizations?

Accepted Answer

Compliance Program Guidance for Hospitals (1998)

Answer

The OIG issued its Compliance Program Guidance for Hospitals in 1998, which first articulated the Seven Elements framework for healthcare entities.

Question 2

A compliance officer discovers that employees routinely bypass the anonymous hotline because they fear retaliation. Which of the Seven Elements is most directly compromised?

Accepted Answer

Open lines of communication

Answer

Open lines of communication require that employees feel safe reporting concerns without fear of retaliation, so a chilling effect directly undermines this element.

Question 3

Under the Seven Elements, disciplinary guidelines must be publicized to employees primarily to achieve which goal?

Accepted Answer

Deter future violations through awareness of consequences

Answer

Well-publicized disciplinary standards serve as a deterrent by ensuring all employees know that violations carry real, consistent consequences.

Question 4

An organization responds to a billing audit finding by retraining coders but takes no action for 90 days. Which element of the Seven Elements is being violated?

Accepted Answer

Prompt response to detected offenses

Answer

The seventh element requires prompt corrective action once an offense is detected; a 90-day delay without remediation violates this requirement.

Question 5

Which scenario best demonstrates effective internal monitoring under the Seven Elements?

Accepted Answer

Running quarterly claims audits comparing billed codes to documentation

Answer

Regular audits comparing billing codes to clinical documentation constitute active internal monitoring, the fifth element of an effective compliance program.

(CCT) Certified Compliance Technician Practice Test

(CCT) Certified Compliance Technician Practice Test

CCT Seven Elements of Compliance 2