RHIT STUDY GUIDE EXAM 2025/2026 GRADED A+
QUESTIONS AND ANSWERS 100% CORRECT
What is the Board of Directors responsibility for compliance? - Their duty to make reasonable inquiry
into the processes established for adherence to corporate compliance with rules and regulations.
What is hospital's governing body responsibility for compliance? - The hospital's Governing Body
must ensure that all practitioners who provide a medical level
of care and/or conduct surgical procedures in the hospital are individually evaluated by its
Medical Staff and that those practitioners possess current qualifications and demonstrated
competencies for the privileges granted.
What is the responsibility of Administrative Executive Team for compliance? - They has responsibility
for implementing policies and carrying out compliance initiatives at hospital.
Who is Chief Compliance Officer (CCO) ? what is his responsibility and reports directly to who ? - The
Chief Compliance Officer (CCO) is the architect & steward of enterprise compliance strategy,
structure and processes. He is primarily responsible for overseeing and managing compliance within
an organization and report directly to the Chief Executive Officer (CEO).
Employees of the hospital report directly or indirectly to who? - The administrative executive team.
Who are medical staff? what are their duty and responsible? - They are physicians who have been
granted privilege to provide certain clinical services at the hospital. They have agreed to abide by the
bylaws, rules, and regulations of the hospitals and report to the Board of Directors.
Who are medical staff officers? - The medical staff elects officers to preside over meetings and
conduct business. These officers typically include a medical staff president (or chief of staff), vice-
president, and secretary.
The medical staffs granted privileges as the credentialing process by whom? - Clinical privileges are
authorized by the Board of Directors at a hospital.
Who is ultimately responsible for the operation of a typical hospital? - Board of directors.
, What is a compliance ? - It's the act of adhering to rules and regulations.
What is a compliance policy ? - A general statement that defines the parameters for decision-making
guidance on a topic.
Who is tasked with implementing policies and carrying out compliance initiatives at a hospital ? -
Administrative Executive Team
What are purposes of compliance policies ? - It is intended to assist hospitals and their agents
develop effective internal controls that promote adherence to applicable Federal and State law, and
the program requirements of Federal, State and private health plans.
What is a compliance procedure ? - Describes the steps to take in order to successfully fulfill a policy.
What is an organizational chart in maintaining and monitoring compliance ? - It is a diagram that
illustrates the relationships and ranks of all the positions within the organization.
What is a compliance standard ? - They provide a standard for compliant behavior and may be the
basis for compliance education, as well as the basis for progressive discipline when the policy is
violated. Standards should articulate the hospital's commitment to comply with all Federal and State
standards, with an emphasis on preventing fraud and abuse.
What is a compliance mission statement ? - It is committed to conducting themselves in accordance
with applicable business and community ethical standards and federal, state, and local laws, rules,
and regulations.
What is a vision statement in maintaining and monitoring compliance ? - It is what outlines what the
organization wants to be in an idealized sense.
What is a values statement in maintaining and monitoring compliance ? - Defines beliefs that are
shared throughout the organization. For example, its legal duty to ensure that it is not submitting
false or inaccurate claims to government and private payers.
QUESTIONS AND ANSWERS 100% CORRECT
What is the Board of Directors responsibility for compliance? - Their duty to make reasonable inquiry
into the processes established for adherence to corporate compliance with rules and regulations.
What is hospital's governing body responsibility for compliance? - The hospital's Governing Body
must ensure that all practitioners who provide a medical level
of care and/or conduct surgical procedures in the hospital are individually evaluated by its
Medical Staff and that those practitioners possess current qualifications and demonstrated
competencies for the privileges granted.
What is the responsibility of Administrative Executive Team for compliance? - They has responsibility
for implementing policies and carrying out compliance initiatives at hospital.
Who is Chief Compliance Officer (CCO) ? what is his responsibility and reports directly to who ? - The
Chief Compliance Officer (CCO) is the architect & steward of enterprise compliance strategy,
structure and processes. He is primarily responsible for overseeing and managing compliance within
an organization and report directly to the Chief Executive Officer (CEO).
Employees of the hospital report directly or indirectly to who? - The administrative executive team.
Who are medical staff? what are their duty and responsible? - They are physicians who have been
granted privilege to provide certain clinical services at the hospital. They have agreed to abide by the
bylaws, rules, and regulations of the hospitals and report to the Board of Directors.
Who are medical staff officers? - The medical staff elects officers to preside over meetings and
conduct business. These officers typically include a medical staff president (or chief of staff), vice-
president, and secretary.
The medical staffs granted privileges as the credentialing process by whom? - Clinical privileges are
authorized by the Board of Directors at a hospital.
Who is ultimately responsible for the operation of a typical hospital? - Board of directors.
, What is a compliance ? - It's the act of adhering to rules and regulations.
What is a compliance policy ? - A general statement that defines the parameters for decision-making
guidance on a topic.
Who is tasked with implementing policies and carrying out compliance initiatives at a hospital ? -
Administrative Executive Team
What are purposes of compliance policies ? - It is intended to assist hospitals and their agents
develop effective internal controls that promote adherence to applicable Federal and State law, and
the program requirements of Federal, State and private health plans.
What is a compliance procedure ? - Describes the steps to take in order to successfully fulfill a policy.
What is an organizational chart in maintaining and monitoring compliance ? - It is a diagram that
illustrates the relationships and ranks of all the positions within the organization.
What is a compliance standard ? - They provide a standard for compliant behavior and may be the
basis for compliance education, as well as the basis for progressive discipline when the policy is
violated. Standards should articulate the hospital's commitment to comply with all Federal and State
standards, with an emphasis on preventing fraud and abuse.
What is a compliance mission statement ? - It is committed to conducting themselves in accordance
with applicable business and community ethical standards and federal, state, and local laws, rules,
and regulations.
What is a vision statement in maintaining and monitoring compliance ? - It is what outlines what the
organization wants to be in an idealized sense.
What is a values statement in maintaining and monitoring compliance ? - Defines beliefs that are
shared throughout the organization. For example, its legal duty to ensure that it is not submitting
false or inaccurate claims to government and private payers.
