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Compliance and Regulatory Training Flashcards

7 cards from real RELIAS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Compliance and Regulatory Training flashcards as text

  1. Which element is NOT typically part of the OIG's seven elements of an effective compliance program?

    Answer: Mandatory profit-sharing for compliance staff

    The OIG's seven elements focus on governance, policies, training, communication, monitoring, enforcement, and response — not financial incentives for compliance staff.

  2. What is 'upcoding' in healthcare billing compliance?

    Answer: Billing for a higher-level or more expensive service than was actually provided

    Upcoding is a form of healthcare fraud where providers bill for more expensive services than were delivered, violating the False Claims Act.

  3. Under OSHA's Bloodborne Pathogens Standard, which item must employers provide at no cost to employees with occupational exposure?

    Answer: Hepatitis B vaccination series

    OSHA requires employers to offer the Hepatitis B vaccination series at no cost to all employees with occupational exposure to bloodborne pathogens.

  4. What action should a healthcare worker take first upon discovering a potential compliance violation?

    Answer: Report it through established channels such as a supervisor or compliance hotline

    Employees should promptly report suspected violations through established reporting mechanisms like supervisors, compliance officers, or hotlines.

  5. The Stark Law (Physician Self-Referral Law) primarily prohibits physicians from:

    Answer: Referring patients to facilities where the physician or immediate family has a financial interest

    The Stark Law bars physicians from referring patients to designated health service entities in which they or their immediate family members have a financial relationship.

  6. Which regulation specifically governs the handling and disposal of hazardous pharmaceutical waste in healthcare settings?

    Answer: Resource Conservation and Recovery Act (RCRA)

    RCRA is the primary federal law governing hazardous waste management, including pharmaceutical waste disposal in healthcare facilities.

  7. In healthcare compliance, 'qui tam' provisions allow:

    Answer: Private individuals to file False Claims Act lawsuits on behalf of the government and share in any recovery

    Qui tam provisions of the False Claims Act allow whistleblowers (relators) to sue on behalf of the government and receive a percentage of any recovered funds.