CCT - Certified Compliance Technician OIG Compliance Guidance Questions and Answers

Question 1

A small physician practice is developing a compliance program based on OIG guidance. Which of the following is one of the seven fundamental elements they should implement?

Accepted Answer

Establishing a process for internal monitoring and auditing.

Answer

The OIG's Compliance Program Guidance for Individual and Small Group Physician Practices outlines seven fundamental elements for an effective compliance program. One of these core elements is conducting internal monitoring and auditing to ensure compliance with standards and procedures.

Question 2

A hospital compliance officer discovers a pattern of incorrect billing for a specific procedure. According to OIG Compliance Guidance, which of the following actions is the most appropriate initial response?

Accepted Answer

Developing a corrective action plan and responding to the detected offense.

Answer

A key element of an effective compliance program is responding appropriately to detected offenses and developing corrective action initiatives. This involves investigating the issue, implementing corrective measures to prevent recurrence, and, if necessary, disclosing the issue to the appropriate governmental agency.

Question 3

Which of the following scenarios would most likely trigger a *mandatory* exclusion from federal healthcare programs by the OIG?

Accepted Answer

A felony conviction for healthcare fraud related to Medicare.

Answer

The OIG is required by law to exclude individuals and entities convicted of certain criminal offenses. These mandatory exclusions include felony convictions for Medicare or Medicaid fraud. Other offenses, like license revocation or misdemeanor convictions, may lead to permissive exclusion at the OIG's discretion.

Question 4

A new medical device company wants to enter into a financial arrangement with physicians to promote its product. To mitigate risks associated with the Anti-Kickback Statute, the company could request a formal opinion from which agency?

Accepted Answer

The Office of Inspector General (OIG)

Answer

The OIG issues advisory opinions to healthcare providers about the application of its fraud and abuse authorities, including the Federal Anti-Kickback Statute, to their existing or proposed business arrangements. While not mandatory, a favorable advisory opinion can provide assurance that the arrangement poses a low risk of sanctions.

Question 5

The OIG's Compliance Program Guidance is considered:

Accepted Answer

A voluntary framework that provides recommendations and best practices.

Answer

The OIG's compliance program guidances are voluntary and not legally binding. They are intended to assist healthcare providers by providing a framework and suggestions for establishing effective internal controls to prevent fraud, waste, and abuse.

(CCT) Certified Compliance Technician Practice Test

(CCT) Certified Compliance Technician Practice Test

CCT - Certified Compliance Technician OIG Compliance Guidance Questions and Answers