Compliance Program Administration Flashcards
7 cards from real CHC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Compliance Program Administration flashcards as text
Which element of an effective compliance program focuses on identifying and addressing compliance risks before they result in violations?
Answer: Proactive risk assessment
Proactive risk assessment identifies potential compliance vulnerabilities before they result in violations, allowing corrective action to be taken.
A compliance officer discovers that a department manager has been retaliating against an employee who reported a compliance concern. What is the MOST appropriate immediate action?
Answer: Investigate the retaliation claim and protect the reporting employee
Non-retaliation policies must be enforced by immediately investigating retaliation claims and protecting the employee who reported the concern.
Under the OIG's guidance on compliance programs, what is the recommended frequency for conducting compliance risk assessments in a healthcare organization?
Answer: At least annually
The OIG recommends conducting compliance risk assessments at least annually to keep pace with regulatory changes and organizational risks.
Which of the following BEST describes the role of the compliance committee in a healthcare organization?
Answer: Providing oversight, guidance, and support for compliance program operations
The compliance committee provides oversight, guidance, and multidisciplinary support to help administer and strengthen the compliance program.
What is the PRIMARY purpose of conducting exit interviews as part of a compliance program?
Answer: To gather information about potential compliance issues from departing employees
Exit interviews can uncover compliance concerns that departing employees may be more willing to share when leaving the organization.
A hospital compliance officer is developing metrics to measure the effectiveness of the compliance training program. Which metric is MOST directly relevant?
Answer: Pre- and post-training assessment scores
Pre- and post-training assessment scores directly measure knowledge gained, making them the most relevant metric for training effectiveness.
When a compliance officer identifies a significant potential overpayment to Medicare, what is the required timeframe for self-reporting under the 60-day rule?
Answer: Within 60 days of identification or when the overpayment is quantified
The ACA's 60-day rule requires providers to report and return identified Medicare/Medicaid overpayments within 60 days of identification or quantification.