CHC Compliance Program Administration 4

Question 1

A healthcare compliance officer receives an anonymous hotline report alleging that a supervisor is falsifying patient records. What is the correct FIRST step?

Accepted Answer

Conduct a preliminary assessment to determine if an investigation is warranted

Answer

All hotline reports, including anonymous ones, require a preliminary assessment to determine scope, severity, and whether a formal investigation is needed.

Question 2

Under the False Claims Act, what is 'qui tam' litigation?

Accepted Answer

A whistleblower lawsuit filed on behalf of the government by a private individual

Answer

Qui tam provisions of the False Claims Act allow private individuals (relators) to sue on behalf of the government and share in any recovery.

Question 3

Which of the following is a key characteristic of an effective compliance hotline?

Accepted Answer

It allows for anonymous reporting and is available 24/7

Answer

An effective compliance hotline must allow anonymous reporting and be accessible around the clock to encourage employees to report concerns without fear.

Question 4

A compliance program's work plan should PRIMARILY be based on which of the following?

Accepted Answer

Results of the organization's current risk assessment

Answer

The annual work plan should be driven by the current risk assessment to ensure compliance activities address the organization's most significant and timely risks.

Question 5

What is the primary function of compliance monitoring as distinct from compliance auditing?

Accepted Answer

Monitoring is ongoing and routine; auditing involves in-depth, periodic review of specific areas

Answer

Monitoring is a continuous, routine process to detect potential issues early, while auditing is a more structured, periodic examination of specific risk areas.

CHC - Certified in Healthcare Compliance Practice Test

CHC - Certified in Healthcare Compliance Practice Test

CHC Compliance Program Administration 4