COMPLETE QUESTIONS AND 100%
CORRECT ANSWERS VERIFIED BY
EXPERT 2025 UPDATE.
1. A compliance professional is trying to determine if attorney-client privilege should be
requested. The compliance professional's policy should require attorney-client privilege to
be established in which of the following situations:
a. Violation of employee that occurred outside of the organization, and not within the roles and
responsibilities this employee has to the organization.
b. Illegal or unethical business practices by a Chief Executive Officer or other Executive
Management.
c. Overpayment from Medicare of $300,000 that was the result of a billing error.
Answer: b. Illegal or unethical business practices by a Chief Executive Officer or other
Executive Management.
2. Which of these steps should not be taken when assisting in a code of conduct violation
investigation?
a. Follow the company policy to fairly discipline the involved parties.
b. Document and report your findings.
c. Treat every person involved with dignity and respect.
d. Limit your interview to as few people as possible.
Answer: d. Limit your interview to as few people as possible.
3. If during the course of an internal investigation, the compliance officer believes the
integrity of the investigation might be compromised by the continued presence of work
force members who are the subject of the investigation. In the best interest of the attorney-
client privilege, which action would you take?
a. Conduct employee background checks.
b. Counsel obtains employee's dispositions.
c. Destroy documents or other evidence.
d. Re-assign employees to other responsibilities until the investigation is completed.
e. All of the above.
Answer: d. Re-assign employees to other responsibilities until the investigation is
completed.
,4. Which government department is comprised of thousands of employees who enforce the
nation's federal criminal laws and help develop and implement criminal law policies?
a. Office of Inspector General (OIG)
b. Centers for Medicare & Medicaid Services (CMS)
c. Healthcare Lawyers Association (HLA)
d. Department of Justice
Answer: d. Department of Justice
5. A potential violation was identified by Compliance, what should be done first?
a. Meet with in-house legal counsel
b. Perform an internal investigation
c. Modify the source of the wrongdoing
c. Create an investigative team
Answer: b. Perform an internal investigation
6. Appropriate progressive discipline policies associated with a compliance program should
be:
a. Defined by role
b. Enforced consistently
c. Applied to physicians
d. Reported to the government
Answer: b. Enforced consistently
7. According to the Federal Sentencing Guidelines, which of the following factors could
increase the punishment of an organization?
a. Obstruction of justice
b. Violation of the direct court order
c. Prior history of violations
d. All of the above
Answer: d. All of the above
8. After an investigation, it was discovered that the organization's reputation is at stake.
What should a Compliance Professional do next?
a. Report the findings to the board.
b. Contact legal counsel.
c. Advise the CEO and recommend next steps.
, d. Self-disclose to the OIG.
Answer: b. Contact legal counsel.
9. An organization identifies a potential issue when reviewing personal services and
management contracts. Which of the following should the compliance professional consider
in analyzing the issue?
a. Deficit Reduction Act (DRA)
b. Conditions of Participation (CoP)
c. IRS tax-exempt guidelines
d. Anti-Kickback (AKS) Safe Harbors
Answer: d. Anti-Kickback (AKS) Safe Harbors
10. Before a government investigation occurs, what should be reviewed carefully?
a. Government investigator credentials.
b. The search warrant to ensure only identified documents are searched.
c. All of the above.
d. None of the above.
Answer: b. The search warrant to ensure only identified documents are searched.
11. Corporate Integrity Agreements (CIA) are negotiated primarily between the:
a. US attorneys and the hospital.
b. DOJ and the provider.
c. Federal Sentencing Commission and the organization.
d. OIG and the healthcare entity.
Answer: d. OIG and the healthcare entity.
12. Which of the following governmental bodies has enforcement authority for HIPAA
privacy?
a. OIG
b. FDA
c. OCR
d. OSHA
Answer: c. OCR