Tennessee Healthcare Compliance Officer
Exam Question and correct answers (verified
answers 100%) Q&A 2026/2027 INSTANT
DOWNLOAD PDF
1. What is the primary purpose of a healthcare compliance program?
A. Increase hospital revenue only
B. Ensure adherence to laws, regulations, and ethical standards
C. Reduce the number of employees
D. Eliminate all medical errors
Correct Answer: B
Rationale: A healthcare compliance program helps organizations follow federal
and state laws, prevent violations, promote ethical practices, and reduce risks
associated with improper healthcare operations.
2. Which federal law is most associated with preventing healthcare fraud and
abuse?
A. Occupational Safety and Health Act
B. False Claims Act
C. Emergency Medical Treatment and Labor Act
D. Food Safety Act
Correct Answer: B
Rationale: The False Claims Act allows the government to penalize individuals or
organizations that knowingly submit false claims for payment to federal
healthcare programs.
,3. The compliance officer’s primary responsibility is to:
A. Manage patient appointments
B. Oversee compliance activities and reduce organizational risk
C. Approve every medical procedure
D. Replace the hospital administrator
Correct Answer: B
Rationale: Compliance officers develop, monitor, and enforce compliance
programs while identifying and reducing regulatory risks.
4. HIPAA primarily protects:
A. Hospital finances
B. Employee salaries
C. Patient health information
D. Medical equipment
Correct Answer: C
Rationale: HIPAA establishes standards for protecting patients’ protected health
information (PHI) and controlling its use and disclosure.
5. Which organization publishes the Federal Sentencing Guidelines used in
compliance programs?
A. CMS
B. OIG
C. FDA
D. OSHA
Correct Answer: B
,Rationale: The Office of Inspector General (OIG) provides compliance program
guidance used by healthcare organizations.
6. A compliance audit is conducted to:
A. Increase patient wait times
B. Identify potential regulatory violations
C. Replace employees
D. Eliminate documentation
Correct Answer: B
Rationale: Compliance audits evaluate whether healthcare practices follow laws,
policies, and regulatory requirements.
7. Under HIPAA, the minimum necessary rule means healthcare workers should:
A. Access all available patient information
B. Access only information needed to perform their duties
C. Share information freely
D. Avoid documenting care
Correct Answer: B
Rationale: The minimum necessary standard limits access and disclosure of PHI to
only what is required for a specific purpose.
8. Which agency administers Medicare and Medicaid programs?
A. CMS
B. DEA
C. CDC
D. FTC
Correct Answer: A
, Rationale: The Centers for Medicare & Medicaid Services (CMS) oversees
Medicare, Medicaid, and related healthcare programs.
9. A healthcare employee reports possible fraud. The compliance officer should
first:
A. Ignore the report
B. Investigate according to compliance procedures
C. Punish the employee
D. Delete records
Correct Answer: B
Rationale: Compliance officers must investigate concerns objectively while
following established reporting and investigation processes.
10. The term "kickback" refers to:
A. A patient complaint
B. Illegal payment for referrals or services
C. A medical procedure
D. A billing discount
Correct Answer: B
Rationale: The Anti-Kickback Statute prohibits offering or receiving anything of
value to influence healthcare referrals.
11. The Stark Law primarily addresses:
A. Workplace safety
B. Physician self-referrals
C. Drug manufacturing
D. Patient privacy
Exam Question and correct answers (verified
answers 100%) Q&A 2026/2027 INSTANT
DOWNLOAD PDF
1. What is the primary purpose of a healthcare compliance program?
A. Increase hospital revenue only
B. Ensure adherence to laws, regulations, and ethical standards
C. Reduce the number of employees
D. Eliminate all medical errors
Correct Answer: B
Rationale: A healthcare compliance program helps organizations follow federal
and state laws, prevent violations, promote ethical practices, and reduce risks
associated with improper healthcare operations.
2. Which federal law is most associated with preventing healthcare fraud and
abuse?
A. Occupational Safety and Health Act
B. False Claims Act
C. Emergency Medical Treatment and Labor Act
D. Food Safety Act
Correct Answer: B
Rationale: The False Claims Act allows the government to penalize individuals or
organizations that knowingly submit false claims for payment to federal
healthcare programs.
,3. The compliance officer’s primary responsibility is to:
A. Manage patient appointments
B. Oversee compliance activities and reduce organizational risk
C. Approve every medical procedure
D. Replace the hospital administrator
Correct Answer: B
Rationale: Compliance officers develop, monitor, and enforce compliance
programs while identifying and reducing regulatory risks.
4. HIPAA primarily protects:
A. Hospital finances
B. Employee salaries
C. Patient health information
D. Medical equipment
Correct Answer: C
Rationale: HIPAA establishes standards for protecting patients’ protected health
information (PHI) and controlling its use and disclosure.
5. Which organization publishes the Federal Sentencing Guidelines used in
compliance programs?
A. CMS
B. OIG
C. FDA
D. OSHA
Correct Answer: B
,Rationale: The Office of Inspector General (OIG) provides compliance program
guidance used by healthcare organizations.
6. A compliance audit is conducted to:
A. Increase patient wait times
B. Identify potential regulatory violations
C. Replace employees
D. Eliminate documentation
Correct Answer: B
Rationale: Compliance audits evaluate whether healthcare practices follow laws,
policies, and regulatory requirements.
7. Under HIPAA, the minimum necessary rule means healthcare workers should:
A. Access all available patient information
B. Access only information needed to perform their duties
C. Share information freely
D. Avoid documenting care
Correct Answer: B
Rationale: The minimum necessary standard limits access and disclosure of PHI to
only what is required for a specific purpose.
8. Which agency administers Medicare and Medicaid programs?
A. CMS
B. DEA
C. CDC
D. FTC
Correct Answer: A
, Rationale: The Centers for Medicare & Medicaid Services (CMS) oversees
Medicare, Medicaid, and related healthcare programs.
9. A healthcare employee reports possible fraud. The compliance officer should
first:
A. Ignore the report
B. Investigate according to compliance procedures
C. Punish the employee
D. Delete records
Correct Answer: B
Rationale: Compliance officers must investigate concerns objectively while
following established reporting and investigation processes.
10. The term "kickback" refers to:
A. A patient complaint
B. Illegal payment for referrals or services
C. A medical procedure
D. A billing discount
Correct Answer: B
Rationale: The Anti-Kickback Statute prohibits offering or receiving anything of
value to influence healthcare referrals.
11. The Stark Law primarily addresses:
A. Workplace safety
B. Physician self-referrals
C. Drug manufacturing
D. Patient privacy
