HEALTHCARE COMPLIANCE EXAMINATION QUESTIONS
AND CORRECT ANSWER WITH EXPLANATION GRADED
A+ SOUTHERN NEW HAMPSHIRE UNIVERSITY
1. Healthcare compliance refers to:
A. Following laws, regulations, and standards in healthcare
B. Performing surgery
C. Manufacturing drugs
D. Hospital construction
Answer: A
Rationale: Compliance ensures legal and ethical healthcare operations.
2. The main goal of healthcare compliance is to:
A. Prevent fraud and ensure ethical practices
B. Increase hospital size
C. Perform medical coding
D. Reduce patient care
Answer: A
Rationale: Focus is legal and ethical adherence.
3. HIPAA primarily protects:
A. Patient health information privacy
B. Hospital buildings
C. Drug pricing
D. Surgery tools
Answer: A
Rationale: Health data confidentiality law.
4. PHI stands for:
,A. Protected Health Information
B. Public Health Institution
C. Personal Hospital Index
D. Patient Health Indicator
Answer: A
Rationale: Sensitive patient data.
5. A compliance officer is responsible for:
A. Ensuring adherence to healthcare regulations
B. Performing surgery
C. Coding diseases
D. Writing prescriptions
Answer: A
Rationale: Oversees compliance programs.
6. Fraud in healthcare means:
A. Intentional deception for financial gain
B. Honest billing
C. Accurate coding
D. Proper documentation
Answer: A
Rationale: Illegal activity.
7. Abuse in healthcare billing is:
A. Unintentional incorrect practices
B. Fraud
C. Legal billing
D. Proper documentation
Answer: A
Rationale: Mistakes, not intentional.
8. The False Claims Act deals with:
, A. Fraudulent billing to government programs
B. Surgery errors
C. Drug manufacturing
D. Hospital design
Answer: A
Rationale: Anti-fraud law.
9. Stark Law regulates:
A. Physician self-referrals
B. Nursing standards
C. Drug production
D. Hospital construction
Answer: A
Rationale: Prevents conflicts of interest.
10. Anti-Kickback Statute prohibits:
A. Receiving illegal payments for referrals
B. Patient care
C. Coding practices
D. Medical training
Answer: A
Rationale: Prevents bribery.
11. Compliance programs are designed to:
A. Detect and prevent violations
B. Increase billing errors
C. Reduce patient care
D. Promote fraud
Answer: A
Rationale: Risk prevention.
12. A compliance audit is used to:
AND CORRECT ANSWER WITH EXPLANATION GRADED
A+ SOUTHERN NEW HAMPSHIRE UNIVERSITY
1. Healthcare compliance refers to:
A. Following laws, regulations, and standards in healthcare
B. Performing surgery
C. Manufacturing drugs
D. Hospital construction
Answer: A
Rationale: Compliance ensures legal and ethical healthcare operations.
2. The main goal of healthcare compliance is to:
A. Prevent fraud and ensure ethical practices
B. Increase hospital size
C. Perform medical coding
D. Reduce patient care
Answer: A
Rationale: Focus is legal and ethical adherence.
3. HIPAA primarily protects:
A. Patient health information privacy
B. Hospital buildings
C. Drug pricing
D. Surgery tools
Answer: A
Rationale: Health data confidentiality law.
4. PHI stands for:
,A. Protected Health Information
B. Public Health Institution
C. Personal Hospital Index
D. Patient Health Indicator
Answer: A
Rationale: Sensitive patient data.
5. A compliance officer is responsible for:
A. Ensuring adherence to healthcare regulations
B. Performing surgery
C. Coding diseases
D. Writing prescriptions
Answer: A
Rationale: Oversees compliance programs.
6. Fraud in healthcare means:
A. Intentional deception for financial gain
B. Honest billing
C. Accurate coding
D. Proper documentation
Answer: A
Rationale: Illegal activity.
7. Abuse in healthcare billing is:
A. Unintentional incorrect practices
B. Fraud
C. Legal billing
D. Proper documentation
Answer: A
Rationale: Mistakes, not intentional.
8. The False Claims Act deals with:
, A. Fraudulent billing to government programs
B. Surgery errors
C. Drug manufacturing
D. Hospital design
Answer: A
Rationale: Anti-fraud law.
9. Stark Law regulates:
A. Physician self-referrals
B. Nursing standards
C. Drug production
D. Hospital construction
Answer: A
Rationale: Prevents conflicts of interest.
10. Anti-Kickback Statute prohibits:
A. Receiving illegal payments for referrals
B. Patient care
C. Coding practices
D. Medical training
Answer: A
Rationale: Prevents bribery.
11. Compliance programs are designed to:
A. Detect and prevent violations
B. Increase billing errors
C. Reduce patient care
D. Promote fraud
Answer: A
Rationale: Risk prevention.
12. A compliance audit is used to:
