CHC Remedial Measures and Discipline 2

Question 1

When a compliance investigation concludes that an employee violated policy unintentionally due to inadequate training, the MOST appropriate remedial measure is:

Accepted Answer

Mandatory retraining and closer supervision

Answer

Unintentional violations stemming from training gaps are best addressed through mandatory retraining and enhanced supervision rather than punitive termination.

Question 2

A compliance officer discovers a physician has been upcoding claims for 18 months. Under the OIG's voluntary disclosure guidance, the organization should:

Accepted Answer

Report to the OIG Self-Disclosure Protocol and cooperate fully

Answer

The OIG Self-Disclosure Protocol is the appropriate channel when an organization identifies potential fraud that it wishes to resolve proactively.

Question 3

Which element is MOST critical when documenting disciplinary actions to protect the organization in future legal proceedings?

Accepted Answer

Documenting specific policy provisions violated and evidence supporting the finding

Answer

Precise documentation of the specific policy violated and supporting evidence creates a defensible record if the discipline is later challenged.

Question 4

An organization's corrective action plan submitted to the OIG following a self-disclosure should include all of the following EXCEPT:

Accepted Answer

Names of all patients whose records were reviewed

Answer

Corrective action plans address systemic fixes and repayment details; disclosing individual patient names is not a standard OIG requirement.

Question 5

Under the Federal Sentencing Guidelines, which factor MOST reduces an organization's culpability score after a compliance violation is discovered?

Accepted Answer

Self-reporting the offense to appropriate authorities

Answer

The Federal Sentencing Guidelines provide culpability score reductions for self-reporting, full cooperation, and acceptance of responsibility.

CHC - Certified in Healthcare Compliance Practice Test

CHC - Certified in Healthcare Compliance Practice Test

CHC Remedial Measures and Discipline 2