CHC - Certified in Healthcare Compliance Remedial Measures and Discipline Questions and Answers

Question 1

A high-performing, senior-level manager with a long tenure at a hospital is found to have committed a clear violation of the organization's conflict of interest policy.
When determining the appropriate disciplinary action, which principle is MOST critical for the compliance officer to uphold?

Accepted Answer

The disciplinary action must be consistent with the organization's well-publicized standards for such a violation.

Answer

The manager's performance record and seniority should mitigate the severity of the discipline.

Answer

Discipline should be delayed until the manager's next performance review to be handled confidentially.

Answer

A private, verbal warning is most appropriate to avoid negatively impacting departmental morale.

Question 2

What is the primary purpose of developing a Corrective Action Plan (CAP) after an internal investigation substantiates a compliance deficiency?

Accepted Answer

To identify and remedy the root cause of the non-compliance to prevent its recurrence.

Answer

To document the final disciplinary actions taken against the employees involved.

Answer

To serve as the official report of the violation to the appropriate government agency.

Answer

To calculate and quantify the precise financial overpayment resulting from the violation.

Question 3

A hospital's internal audit identifies a systemic billing software error that resulted in significant overpayments from Medicare over the past two years. After quantifying the amount, what is the organization's primary obligation under the Patient Protection and Affordable Care Act (ACA)?

Accepted Answer

To report and return the overpayment within 60 days of its identification.

Answer

To wait until the Medicare Administrative Contractor (MAC) discovers the error through its own audits.

Answer

To immediately enter into a Corporate Integrity Agreement (CIA) with the Office of Inspector General (OIG).

Answer

To document the error internally and offset the amount against future claims.

Question 4

Which of the following actions BEST demonstrates an organization's commitment to its non-retaliation policy for employees who report compliance concerns?

Accepted Answer

Consistently communicating the policy and taking swift, visible action against any perceived retaliation.

Answer

Rewarding departments that have the lowest number of hotline reports.

Answer

Requiring all compliance concerns to be submitted anonymously through a third-party hotline.

Answer

Assigning the Chief Financial Officer to personally approve all terminations.

Question 5

An investigation reveals that a new medical assistant improperly accessed a celebrity patient's electronic health record out of curiosity. The medical assistant claims they were unaware this was a violation. Which remedial measure would BEST address the root cause of this HIPAA violation?

Accepted Answer

Implementing role-based access controls and providing targeted retraining for all staff on 'minimum necessary' access.

Answer

Immediate termination of the medical assistant to set an example.

Answer

Disabling the medical assistant's access to all clinical systems indefinitely.

Answer

Requiring all medical assistants to attend a general cybersecurity awareness seminar.

Question 6

According to the OIG's Seven Elements of an Effective Compliance Program, disciplinary guidelines should be:

Accepted Answer

Well-publicized and enforced consistently and vigorously across all levels of the organization.

Answer

Kept confidential and shared only among senior leadership to maintain authority.

Answer

Designed to be flexible, allowing for different consequences for the same offense depending on the employee's title.

Answer

Applied more leniently for first-time offenses, regardless of the severity of the violation.