CHC - Certified in Healthcare Compliance Compliance Risk Assessments Questions and Answers

Question 1

When prioritizing risks identified during a healthcare compliance risk assessment, which two factors are MOST commonly used to create a risk matrix or scoring system?

Accepted Answer

Likelihood of occurrence and potential impact

Answer

Date of discovery and number of employees involved

Answer

Cost to investigate and time required for correction

Answer

Media sensitivity and regulator's area of focus

Question 2

A compliance officer for a hospital system is initiating the annual compliance risk assessment. In addition to reviewing internal data such as incident reports and past audit findings, which external resource is MOST critical for identifying potential new areas of regulatory scrutiny?

Accepted Answer

The Office of Inspector General (OIG) Work Plan

Answer

The Joint Commission's accreditation manual

Answer

Press releases from competing hospital systems

Answer

The American Medical Association (AMA) Code of Ethics

Question 3

A large physician practice recently acquired a smaller, independent clinical laboratory. As part of the post-acquisition integration, the compliance officer is conducting a targeted risk assessment. Which of the following potential risks should be prioritized as the HIGHEST concern?

Accepted Answer

Financial arrangements and referral patterns between the practice's physicians and the newly acquired lab

Answer

Discrepancies in employee vacation accrual policies

Answer

Outdated branding on the laboratory's patient-facing forms

Answer

Lack of a formal employee recognition program at the laboratory

Question 4

Which of the following is the PRIMARY output of a comprehensive healthcare compliance risk assessment process?

Accepted Answer

A prioritized work plan for the compliance department's auditing, monitoring, and training activities

Answer

A list of employees who have violated the code of conduct

Answer

A revised annual budget for the legal and compliance departments

Answer

A report detailing every potential compliance risk, regardless of severity

Question 5

A compliance committee is reviewing the results of its annual risk assessment, which has identified over 50 potential compliance risks across various departments. What is the committee's BEST next step?

Accepted Answer

Systematically rank the risks based on probability and severity to determine which to address first.

Answer

Assign every identified risk to the compliance officer for immediate investigation.

Answer

Forward the entire list to the board of directors without comment.

Answer

Mandate organization-wide retraining on all policies and procedures.

Question 6

According to recent OIG guidance, a formal compliance risk assessment process should incorporate information from a variety of internal and external sources. Which of the following is considered a key INTERNAL source of data for this process?

Accepted Answer

Reports from the confidential compliance hotline

Answer

OIG fraud alerts and bulletins

Answer

CMS transmittals and regulatory updates

Answer

Settlements and enforcement actions involving competitors