CHC Remedial Measures and Discipline 5

Question 1

When an organization decides to exclude an individual from participation in its operations following a compliance violation, it must first check the:

Accepted Answer

OIG List of Excluded Individuals and Entities (LEIE) and SAM.gov

Answer

Before and after any employment or contracting action, organizations must screen against the LEIE and SAM.gov to ensure they do not employ or contract with federally excluded parties.

Question 2

A 'root cause analysis' conducted as part of a corrective action plan should PRIMARILY answer which question?

Accepted Answer

Why did the violation occur and what systemic conditions enabled it?

Answer

Root cause analysis identifies the underlying systemic or process failures that allowed a violation to occur, enabling targeted corrective actions.

Question 3

An employee alleges that they were wrongfully terminated in retaliation for reporting a compliance concern. Under the False Claims Act's anti-retaliation provisions, the employee may:

Accepted Answer

Seek reinstatement, double back pay, and attorneys' fees

Answer

The FCA's anti-retaliation provision (31 U.S.C. § 3730(h)) allows prevailing employees to recover reinstatement, double back pay, and attorneys' fees.

Question 4

During a compliance audit, it is discovered that a department head had prior knowledge of ongoing billing fraud but failed to act. The MOST appropriate discipline for the department head is:

Accepted Answer

Discipline commensurate with their supervisory responsibility for failing to act, potentially including termination

Answer

Supervisors who knowingly fail to stop ongoing fraud share culpability and should face discipline proportional to their failure of oversight responsibility.

Question 5

A corrective action plan is MOST effective when it includes which of the following mechanisms?

Accepted Answer

Defined milestones, accountability assignments, and ongoing monitoring to verify implementation

Answer

Effective corrective action plans assign accountability, set measurable milestones, and include ongoing monitoring to confirm that controls have been successfully implemented.

CHC - Certified in Healthcare Compliance Practice Test

CHC - Certified in Healthcare Compliance Practice Test

CHC Remedial Measures and Discipline 5