CHC Random Study Questions 1 Already
Passed
Compliance means (Compliance Program) ✔✔Adherence to laws and regulations, as well as
principles of ethical conduct
OIG urges the ____________ to assist in the implementation of the compliance program and
serves as advisors.
A. Board
B. CEO
C. Compliance Committee
D. Quality Committee ✔✔C. Compliance Committee
A compliance professional is reviewing the policies and procedures for exclusion verifications.
The policy does not state frequency of exclusion verifications. How frequent should exclusion
verifications be performed?
a. Annually
b. Bi-annually
c. Monthly
d. Semi-annually ✔✔c. monthly (as recommended by OIG to avoid risk)
,A hospital medical staff office is conducting its monthly review of the Excluded Parties List
System (EPLS). The compliance officer is called by the manager of the medical staff office and
informed that Dr. Smith, a surgeon who took call 5 times last month for the Emergency
Department, was excluded on a date prior to those dates when the surgeon took call. In other
words, the effective date of the exclusion involving the surgeon was 4/1/2019 and the surgeon
took call and provided surgical services to patients in the ED on 4/13/19, 4/20/19, and 4/27/2019.
What is the NEXT action the compliance officer should do?
a. Contact the ED and make sure that the involved surgeon is removed from taking any more on
call shifts.
b. Have the medical office check if the surgeon is listed on other exclusion lists.
c. Contact legal counsel to alert of the need to pay back reimbursement received for services
provided by an excluded individual.
d. Hold all surgical service related bills associated with the ED so that none are released to any
payers which may involve this surgeon. ✔✔b. Have the medical office check if the surgeon is
listed on other exclusion lists
OIG can impose mandatory exclusion for a minimum of..? ✔✔5 years
True or False:
, An excluded individual is automatically reinstated at the end of an exclusion term ✔✔FALSE -
An excluded individual must apply for reinstatement at the end of their exclusion term
A privacy professional is reviewing a program for an academic medical center that include a
faculty group practice, hospital, student health center, and self-funded group health plan. The
privacy professional should evaluate if the program has notices for:
a. GINA
b. FMLA
c. HIPAA
d. FISMA ✔✔c. HIPAA
A health system implemented an EHR in 55 clinics. The privacy professional is told employees
are inconsistently interpreting the policy addressing employee access to EHR. Which of the
following is the privacy professional's BEST strategy?
a. Collaborate with HR to ensure appropriate discipline
b. Perform an audit under Attorney-Client Privilege
c. Conduct surveys of clinic employees concerns
d. Audit a random sampling of clinics across the organization ✔✔c. Conduct surveys of clinic
employees concerns
Passed
Compliance means (Compliance Program) ✔✔Adherence to laws and regulations, as well as
principles of ethical conduct
OIG urges the ____________ to assist in the implementation of the compliance program and
serves as advisors.
A. Board
B. CEO
C. Compliance Committee
D. Quality Committee ✔✔C. Compliance Committee
A compliance professional is reviewing the policies and procedures for exclusion verifications.
The policy does not state frequency of exclusion verifications. How frequent should exclusion
verifications be performed?
a. Annually
b. Bi-annually
c. Monthly
d. Semi-annually ✔✔c. monthly (as recommended by OIG to avoid risk)
,A hospital medical staff office is conducting its monthly review of the Excluded Parties List
System (EPLS). The compliance officer is called by the manager of the medical staff office and
informed that Dr. Smith, a surgeon who took call 5 times last month for the Emergency
Department, was excluded on a date prior to those dates when the surgeon took call. In other
words, the effective date of the exclusion involving the surgeon was 4/1/2019 and the surgeon
took call and provided surgical services to patients in the ED on 4/13/19, 4/20/19, and 4/27/2019.
What is the NEXT action the compliance officer should do?
a. Contact the ED and make sure that the involved surgeon is removed from taking any more on
call shifts.
b. Have the medical office check if the surgeon is listed on other exclusion lists.
c. Contact legal counsel to alert of the need to pay back reimbursement received for services
provided by an excluded individual.
d. Hold all surgical service related bills associated with the ED so that none are released to any
payers which may involve this surgeon. ✔✔b. Have the medical office check if the surgeon is
listed on other exclusion lists
OIG can impose mandatory exclusion for a minimum of..? ✔✔5 years
True or False:
, An excluded individual is automatically reinstated at the end of an exclusion term ✔✔FALSE -
An excluded individual must apply for reinstatement at the end of their exclusion term
A privacy professional is reviewing a program for an academic medical center that include a
faculty group practice, hospital, student health center, and self-funded group health plan. The
privacy professional should evaluate if the program has notices for:
a. GINA
b. FMLA
c. HIPAA
d. FISMA ✔✔c. HIPAA
A health system implemented an EHR in 55 clinics. The privacy professional is told employees
are inconsistently interpreting the policy addressing employee access to EHR. Which of the
following is the privacy professional's BEST strategy?
a. Collaborate with HR to ensure appropriate discipline
b. Perform an audit under Attorney-Client Privilege
c. Conduct surveys of clinic employees concerns
d. Audit a random sampling of clinics across the organization ✔✔c. Conduct surveys of clinic
employees concerns
