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CHC Random Study Questions 1 with Correct Answers 100% Pass Compliance means (Compliance Program) - ANSWER-Adherence to laws and regulations, as well as principles of ethical conduct OIG urges the ____________ to assist in the implementation of the compliance program and serves as advisors. A...

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  • November 18, 2024
  • 22
  • 2024/2025
  • Exam (elaborations)
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SophiaBennett
CHC Random Study Questions 1 with
Correct Answers 100% Pass

Compliance means (Compliance Program) - ANSWER✔✔-Adherence to laws and

regulations, as well as principles of ethical conduct


OIG urges the ____________ to assist in the implementation of the compliance program

and serves as advisors.


A. Board


B. CEO


C. Compliance Committee


D. Quality Committee - ANSWER✔✔-C. Compliance Committee


A compliance professional is reviewing the policies and procedures for exclusion

verifications. The policy does not state frequency of exclusion verifications. How

frequent should exclusion verifications be performed?


a. Annually


b. Bi-annually


c. Monthly


Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 1/22

,d. Semi-annually - ANSWER✔✔-c. monthly (as recommended by OIG to avoid risk)


A hospital medical staff office is conducting its monthly review of the Excluded Parties

List System (EPLS). The compliance officer is called by the manager of the medical staff

office and informed that Dr. Smith, a surgeon who took call 5 times last month for the

Emergency Department, was excluded on a date prior to those dates when the surgeon

took call. In other words, the effective date of the exclusion involving the surgeon was

4/1/2019 and the surgeon took call and provided surgical services to patients in the ED

on 4/13/19, 4/20/19, and 4/27/2019. What is the NEXT action the compliance officer

should do?


a. Contact the ED and make sure that the involved surgeon is removed from taking any

more on call shifts.


b. Have the medical office check if the surgeon is listed on other exclusion lists.


c. Contact legal counsel to alert of the need to pay back reimbursement received for

services provided by an excluded ind - ANSWER✔✔-b. Have the medical office check if

the surgeon is listed on other exclusion lists


OIG can impose mandatory exclusion for a minimum of..? - ANSWER✔✔-5 years


True or False:


An excluded individual is automatically reinstated at the end of an exclusion term -

ANSWER✔✔-FALSE - An excluded individual must apply for reinstatement at the end

of their exclusion term
Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 2/22

, A privacy professional is reviewing a program for an academic medical center that

include a faculty group practice, hospital, student health center, and self-funded group

health plan. The privacy professional should evaluate if the program has notices for:


a. GINA


b. FMLA


c. HIPAA


d. FISMA - ANSWER✔✔-c. HIPAA


A health system implemented an EHR in 55 clinics. The privacy professional is told

employees are inconsistently interpreting the policy addressing employee access to

EHR. Which of the following is the privacy professional's BEST strategy?


a. Collaborate with HR to ensure appropriate discipline


b. Perform an audit under Attorney-Client Privilege


c. Conduct surveys of clinic employees concerns


d. Audit a random sampling of clinics across the organization - ANSWER✔✔-c.

Conduct surveys of clinic employees concerns


Under the US Federal Sentencing Guidelines, there is an expectation that effective

compliance programs include due diligence in discretionary authority and hiring.

Which of the following is MOST important process to include?


a. Periodic background checks

Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 3/22

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