Relias Compliance and Regulatory Training 3

Question 1

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

Accepted Answer

Mandatory profit-sharing for compliance staff

Answer

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

Question 2

What is 'upcoding' in healthcare billing compliance?

Accepted Answer

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

Answer

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

Question 3

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

Accepted Answer

Hepatitis B vaccination series

Answer

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

Question 4

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

Accepted Answer

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

Answer

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

Question 5

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

Accepted Answer

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

Answer

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.

(Relias) Relias Certification Practice Test

(Relias) Relias Certification Practice Test

Relias Compliance and Regulatory Training 3