CHC Whistleblower Protections and Reporting Mechanisms 3

Question 1

Under which laws are healthcare employees protected from retaliation for reporting fraud or patient safety concerns to federal authorities?

Accepted Answer

False Claims Act and ACA Section 1558

Answer

The False Claims Act's anti-retaliation provision and ACA Section 1558 together protect employees who report healthcare fraud or safety concerns from adverse employment actions.

Question 2

What is the purpose of the 'public disclosure bar' under the False Claims Act?

Accepted Answer

To prevent qui tam suits based on publicly available information unless the relator is the original source

Answer

The public disclosure bar prevents qui tam suits based on information already in the public domain—such as in news reports or prior audits—unless the relator is the original source of that information.

Question 3

An employee who suffers retaliation for reporting healthcare compliance concerns under certain federal statutes may file a complaint with which agency within 180 days of the retaliatory action?

Accepted Answer

Occupational Safety and Health Administration (OSHA)

Answer

For several federal whistleblower statutes, including those covering healthcare, OSHA investigates anti-retaliation complaints, which typically must be filed within 180 days of the retaliatory act.

Question 4

Which of the OIG's seven elements of an effective compliance program specifically addresses reporting mechanisms?

Accepted Answer

Element 4: Open lines of communication

Answer

Element 4 of the OIG's seven elements calls for open lines of communication, including hotlines and anonymous reporting channels, so employees can report concerns without fear of retaliation.

Question 5

What is 'reverse false claims' liability under the False Claims Act?

Accepted Answer

Liability for knowingly avoiding or concealing an obligation to repay money owed to the government

Answer

Reverse false claims involve knowingly concealing or failing to return an identified obligation to pay money to the government, such as retaining Medicare overpayments.

CHC - Certified in Healthcare Compliance Practice Test

CHC - Certified in Healthcare Compliance Practice Test

CHC Whistleblower Protections and Reporting Mechanisms 3