HAC Healthcare Accounting Regulatory Compliance & Auditing 2

Question 1

Under the False Claims Act, what is the minimum per-claim civil monetary penalty for knowingly submitting a false claim to Medicare or Medicaid?

Accepted Answer

$11,803

Answer

$2,181

Answer

$5,000

Answer

$25,000

Question 2

Which OIG exclusion authority permanently excludes individuals convicted of patient abuse or neglect from participating in federal healthcare programs?

Accepted Answer

Mandatory exclusion under 42 U.S.C. § 1320a-7(a)

Answer

Permissive exclusion under 42 U.S.C. § 1320a-7(b)

Answer

Civil monetary penalty authority under 42 U.S.C. § 1320a-7a

Answer

Stark Law exclusion under 42 U.S.C. § 1395nn

Question 3

A hospital's internal audit reveals that a physician is ordering diagnostic tests from a lab in which the physician holds a 20% ownership stake. Which law is most directly implicated?

Accepted Answer

Stark Law (Physician Self-Referral Law)

Answer

Anti-Kickback Statute

Answer

False Claims Act

Answer

HIPAA Privacy Rule

Question 4

In a Medicare RAC (Recovery Audit Contractor) audit, what is the standard look-back period for complex reviews?

Accepted Answer

3 years

Answer

1 year

Answer

2 years

Answer

5 years

Question 5

Which financial statement audit standard do not-for-profit hospitals most commonly follow when preparing GAAP-compliant audited financial statements?

Accepted Answer

AICPA Statements on Auditing Standards (SAS)

Answer

PCAOB Auditing Standards

Answer

Government Auditing Standards (Yellow Book)

Answer

International Standards on Auditing (ISA)

Question 6

Under the Uniform Guidance (2 CFR Part 200), what expenditure threshold triggers a Single Audit requirement for a healthcare entity receiving federal awards?

Accepted Answer

$750,000

Answer

$500,000

Answer

$1,000,000

Answer

$2,000,000

Question 7

Which component of an effective healthcare compliance program, as outlined by the OIG, involves performing periodic risk assessments and internal monitoring?

Accepted Answer

Auditing and monitoring

Answer

Written standards and procedures

Answer

Enforcement and discipline

Answer

Open lines of communication