CHC Standards, Policies, and Procedures 2

Question 1

Which element is MOST critical when drafting a healthcare compliance policy to ensure enforceability?

Accepted Answer

Clear, unambiguous language with defined scope and applicability

Answer

Enforceable policies require clear language, a defined scope, and explicit applicability so staff know exactly what is required of them.

Question 2

Under the OIG's Seven Elements of an Effective Compliance Program, policies and procedures should be reviewed at minimum:

Accepted Answer

Annually or when significant regulatory changes occur

Answer

The OIG recommends policies be reviewed at least annually and updated promptly when laws, regulations, or organizational operations change.

Question 3

A hospital policy states that all vendor gifts must be reported if they exceed $25. An employee receives a $30 gift card and does not report it. This is BEST described as:

Accepted Answer

A policy non-compliance issue subject to internal disciplinary action

Answer

Failure to follow an internal policy threshold triggers internal disciplinary processes rather than automatic federal reporting.

Question 4

The Anti-Kickback Statute (AKS) safe harbor for personal services requires that arrangements be:

Accepted Answer

Set in advance in a written agreement specifying aggregate compensation

Answer

The AKS personal services safe harbor requires a written agreement signed in advance that specifies aggregate compensation and the services to be provided.

Question 5

A procedure document should differ from a policy document in that a procedure document primarily:

Accepted Answer

Provides step-by-step instructions for completing a specific task

Answer

Procedures operationalize policies by providing detailed, sequential steps employees follow to accomplish a specific task.

CHC - Certified in Healthcare Compliance Practice Test

CHC - Certified in Healthcare Compliance Practice Test

CHC Standards, Policies, and Procedures 2