CHC Regulatory Compliance and Government Oversight Questions and Answers 2

Question 1

Which regulation requires healthcare organizations to screen employees against federal exclusion databases prior to hire?

Accepted Answer

OIG exclusion screening requirements under the Social Security Act

Answer

HIPAA Security Rule

Answer

Stark Law

Answer

Joint Commission accreditation standards

Question 2

The 'Yates Memo' issued by the DOJ in 2015 primarily focused healthcare compliance on which area?

Accepted Answer

Holding individual employees accountable for corporate misconduct

Answer

Expanding qui tam whistleblower protections

Answer

Strengthening HIPAA enforcement

Answer

Requiring board-level compliance oversight

Question 3

Under the Civil Monetary Penalties Law (CMPL), what is the maximum per-claim penalty for knowingly presenting a false claim to Medicare?

Accepted Answer

$10,000

Answer

$5,000

Answer

$25,000

Answer

$50,000

Question 4

What is the role of the Compliance and Ethics Officer in relation to the governing board of a healthcare organization?

Accepted Answer

To provide regular compliance updates directly to the board to ensure independent oversight

Answer

To report only to the CEO and shield the board from compliance matters

Answer

To manage legal counsel on the board's behalf

Answer

To handle only billing compliance without board involvement

Question 5

Which federal law created the mandatory exclusion authority for convictions related to Medicare or Medicaid fraud?

Accepted Answer

Social Security Act Section 1128

Answer

Balanced Budget Act of 1997

Answer

False Claims Act

Answer

Deficit Reduction Act of 2005

Question 6

A healthcare entity receives a subpoena from the DOJ for billing records. What is the compliance officer's first priority?

Accepted Answer

Notify the CEO and preserve all relevant documents under a litigation hold

Answer

Immediately produce all records to avoid penalties

Answer

Destroy any records that may be incriminating

Answer

Contact CMS to report the investigation