CHC Practice Questions With 100% Verified Answers

CHC Practice Questions With 100% Verified Answers A compliance professional has been working with a department director to implement a new policy regarding timely completion of medical records. Which of the following should be completed by the department manager to promote compliance with the new policy? a. Statistically valid sampling audit b. Monitoring c. Discovery Audit d. Retrospective Audit - answerb. Monitoring For monitoring activities, OIG uses the term regularly to describe the frequency of review. Which factors should an organization consider when establishing a frequency schedule for monitoring: a. Timing of staff job performance evaluations, how often compliance training is provided, whenever computer upgrades occur, and how many new employees were hired in the target department. b. Size of organization, frequency of the activity being monitored, past incidences of misconduct, and current/future - answerb. Size of organization, frequency of the activity being monitored, past incidences of misconduct, and current/future investigations. Ref. Healthcare Compliance Professional's Manual What is an important first step in creating a compliance team or improving the effectiveness of an existing one? a) Making sure senior management has the time and other resources necessary to promote and carry out compliance improvements b) Give the CCO the authority to reconcile, standardize, and modify policies where appropriate. c) Place the organization's CCO on the senior management team d) None of the above - answerc) Place the organization's CCO on the senior management team. Explanation: This comes straight form Chapter 1 of the Auditing and Monitoring book 2nd ed. Without being placed on the senior management team, the CCO is unable to effectively carry out the duties and responsibilities of the office. An employee has violated the non-retaliation policy, he has spread rumors about employee who reported him. The compliance professional's first action is to: a. Create formal hearing for the violator b. Pursue legal consequence against violator before pursuing work consequences c. Recommend disciplinary actions against the violator of the non-retaliation policy d. Dismiss both employees from work - answerc. Recommend disciplinary actions against the violator of the non-retaliation policy There is no established template for documenting compliance risks. Each organization should develop a Risk Assessment that fits its risk profile. The components that are commonly used throughout the industry are as follows EXCEPT: a. Risk Assessment b. Measuring key risk indicators c. Identifying key performance indicators d. Training the leadership of compliance regulation program - answerd. Training the leadership of compliance regulation program Ref. ABA CRCM (certified regulatory compliance manager) After a compliance officer develops a base of knowledge, he/she must begin the art of applying regulations in a risk management environment. Which of the following is NOT out of a few things to be kept in mind when determining what to do FIRST? a. think practically about your role as an advisor, involve all department units in the decision process rather than making decisions from them b. calculate the organization's consolidated risk profile c. make sure you understand the level of risk that th - answerb. calculate the organization's consolidated risk profile (determine risk tolerance) Ref. ABA CRCM (certified regulatory compliance manager) To be effective, compliance risk management professionals must design a framework to ensure that management understands the risks and steps to take to mitigate them. The many roles compliance professionals fill incorporate risk management aspects including: a. overseeing compliance training targeting higher risk areas b. tracking regulatory proposals or final rules to understand new risks c. both a and b - answerc. both a and b Ref. ABA CRCM (certified regulatory compliance manager) 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 - answerB. Contact legal counsel The compliance officer has completed the non-retaliation policy and it's been officially implemented. The next steps should be: a. Investigate all reports of violations b. Post the information publicly in the internet c. Make the information available to hospital employees d. Revise it annually - answerc. Make the information available to hospital employees 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 depositions c. Destroy documents and other evidence d. Re-assign employees to other responsibilities until the investig - answerd. Re-assign employees to other responsibilities until the investigation is completed.