Compliance Risk Assessments 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 Risk Assessments flashcards as text
A compliance officer wants to distinguish between risks the organization can tolerate and those requiring immediate action. Which concept guides this decision?
Answer: Risk tolerance threshold
A risk tolerance threshold defines the acceptable level of risk beyond which the organization must act, separating tolerable risks from those requiring intervention.
Which data source is LEAST useful when identifying compliance risks in a physician practice?
Answer: Office furniture inventory logs
Furniture inventory logs contain no information relevant to billing, coding, privacy, or other compliance risk areas for a physician practice.
A hospital risk assessment reveals high inherent risk in physician self-referrals. Which law governs this area?
Answer: Stark Law (Physician Self-Referral Law)
The Stark Law prohibits physicians from referring patients to entities with which they have a financial relationship unless a specific exception applies.
When using a risk assessment survey to gather input from department managers, the compliance team should PRIMARILY ensure that:
Answer: Responses are anonymous to encourage candid feedback
Anonymity encourages honest reporting of risks and concerns that employees might otherwise fear disclosing to leadership.
A compliance officer at a large health system is tasked with risk-stratifying 50 identified compliance risks. Which criterion should be applied FIRST to triage the list?
Answer: Combined score of likelihood and potential impact
Combining likelihood and impact produces a risk score that objectively ranks risks, enabling the compliance team to direct resources toward the most critical exposures first.
Which of the following scenarios represents a 'trigger event' that should prompt an unscheduled compliance risk assessment update?
Answer: Acquisition of a new hospital or practice
An acquisition introduces new processes, staff, systems, and regulatory exposures that must be assessed before they are fully integrated.
What role does the compliance risk assessment play within the broader framework of an effective compliance program?
Answer: It serves as the foundation for directing compliance resources, training, and audit priorities
The risk assessment informs where the compliance program should focus its limited resources, including audits, training, and policy development.