CHC Compliance Program Administration 5

Question 1

Which federal agency maintains the List of Excluded Individuals and Entities (LEIE) that healthcare organizations must screen against?

Accepted Answer

Office of Inspector General (OIG)

Answer

The OIG maintains the LEIE, and healthcare organizations must screen employees, contractors, and vendors against it to avoid employing or contracting with excluded parties.

Question 2

What is the recommended approach when a compliance investigation reveals that a violation was systemic rather than an isolated incident?

Accepted Answer

Implement systemic corrective actions, update policies, and provide targeted retraining

Answer

Systemic violations require systemic corrective actions including policy updates, process changes, and targeted training to prevent recurrence across the organization.

Question 3

A compliance officer is asked to report to the board of directors on the compliance program. Which type of information is MOST important to include?

Accepted Answer

Key metrics, significant risks identified, investigations completed, and program effectiveness measures

Answer

Board reports should focus on program performance metrics, significant risks, investigation outcomes, and overall effectiveness to enable informed governance oversight.

Question 4

What distinguishes a 'compliance program' from a 'paper program'?

Accepted Answer

A compliance program is actively implemented and enforced, while a paper program exists only on paper with no real implementation

Answer

A 'paper program' refers to a compliance program that has the required documents but lacks genuine implementation, enforcement, and cultural integration.

Question 5

Under the Affordable Care Act, which type of provider is mandated to have a compliance program as a condition of enrollment in Medicare and Medicaid?

Accepted Answer

Nursing facilities (skilled nursing facilities and nursing facilities)

Answer

The ACA mandated that nursing facilities have a compliance and ethics program as a condition of participation in Medicare and Medicaid.

CHC - Certified in Healthcare Compliance Practice Test

CHC - Certified in Healthcare Compliance Practice Test

CHC Compliance Program Administration 5