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Compliance: More than Just Following the Rules

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1.  Which is not a descriptor of Compliance?
  1. To follow ethical and honest business practices
  2. To provide a high level of quality care
  3. To do what you want, when you want
  4. To direct quality of care
2.  The ______ reports any problems with fraud to Health and Human Services (HHS) and Congress and makes recommendations to correct problems.
  1. FBI (Federal Bureau of Investigation)
  2. CIA (Central Intelligence Agency)
  3. HIPAA (Health Insurance Portability and Accountability Act)
  4. OIG (Office of the Inspector General)
3.  The _____ works with the OIG to convict individuals and organizations who are found guilty of fraud.
  1. NBC (National Broadcasting Company)
  2. DOJ (Department of Justice)
  3. CIA (Central Intelligence Agency)
  4. CNN (Cable News Network)
4.  Effective compliance programs _____:
  1. Define legal and ethical risks
  2. Prevent risks from becoming liabilities
  3. Respond quickly to compliance issues
  4. All of the above
5.  Which is not a characteristic of a compliance program according to the FSGO (Federal Sentencing Guidelines for Organizations)?
  1. Accounts payable
  2. Standards and procedures
  3. Care in delegation
  4. Personal accountability
6.  Assigning a Compliance Officer or Compliance Committee is part of what characteristic of a compliance program?
  1. Business processes
  2. Accountability at the top
  3. Responds to problems
  4. Standards and procedures
7.  "After an offense has been detected, the organization must take all reasonable steps to respond appropriately" defines which characteristic of a compliance program?
  1. Accountability at the top
  2. Care in delegation
  3. Pays the bills
  4. Responds to problems
8.  Code of conduct:
  1. States what the employee expects from the patient
  2. Refutes the organization's mission and values
  3. Outlines acceptable work practices and ethical standards
  4. None of the above
9.  Which of the following are main areas of focus in healthcare compliance?
  1. Employee screening
  2. Billing
  3. Patient rights
  4. All of the above
10.  Which is not a reason for employee screening in healthcare?
  1. Marital status
  2. Criminal activity
  3. Dishonesty
  4. Financial misconduct