CHC Compliance Risk Assessments 4

Question 1

A compliance officer wants to distinguish between risks the organization can tolerate and those requiring immediate action. Which concept guides this decision?

Accepted Answer

Risk tolerance threshold

Answer

A risk tolerance threshold defines the acceptable level of risk beyond which the organization must act, separating tolerable risks from those requiring intervention.

Question 2

Which data source is LEAST useful when identifying compliance risks in a physician practice?

Accepted Answer

Office furniture inventory logs

Answer

Furniture inventory logs contain no information relevant to billing, coding, privacy, or other compliance risk areas for a physician practice.

Question 3

A hospital risk assessment reveals high inherent risk in physician self-referrals. Which law governs this area?

Accepted Answer

Stark Law (Physician Self-Referral Law)

Answer

The Stark Law prohibits physicians from referring patients to entities with which they have a financial relationship unless a specific exception applies.

Question 4

When using a risk assessment survey to gather input from department managers, the compliance team should PRIMARILY ensure that:

Accepted Answer

Responses are anonymous to encourage candid feedback

Answer

Anonymity encourages honest reporting of risks and concerns that employees might otherwise fear disclosing to leadership.

Question 5

A compliance officer at a large health system is tasked with risk-stratifying 50 identified compliance risks. Which criterion should be applied FIRST to triage the list?

Accepted Answer

Combined score of likelihood and potential impact

Answer

Combining likelihood and impact produces a risk score that objectively ranks risks, enabling the compliance team to direct resources toward the most critical exposures first.

CHC - Certified in Healthcare Compliance Practice Test

CHC - Certified in Healthcare Compliance Practice Test

CHC Compliance Risk Assessments 4