2024 –ACTUAL EXAM QUESTIONS WITH
100% VERIFIED ANSWERS A+ GRADE
In the course of an audit, you find that disciplinary actions against
certain physicians and high level executives for non-compliance in
the organization have been unfair and inconsistent with current
policies & procedures. What is your first course of action
.a. Work with legal counsel to enforce proper disciplinary actions
b. Get HR involved and recommend the use of progressive discipline
policies
c. Immediately terminate these individuals
d. Get local and federal labor department involved for unfair
discipline. –
Correct Answer b. Get HR involved and recommend the use of
progressive discipline policies
OIG recommends setting forth the degrees of disciplinary actions.
Progressive discipline provides a structure and a set of discipline
standards for managers/supervisors to follow to ensure discipline is
fair, equitable and consistent.
Documentation - Correct Answer • A&M should be documented
• Findings should be shared with dept managers
,• If activity is part of risk priority then compliance committee, senior
leadership and board when necessary
• OIG calls for written evaluation to be presented to CEO, governing
body, committee annually
Non-retaliation in compliance - what is important to state in this
policy: - Correct Answer For any reporting method to be effective,
employees must accept that there will be no retaliation or
retribution for coming forward.
The concept of non-retaliation is fundamental to the compliance
program, and a clearly stated policy regarding non-retribution is the
first step.
• anonymous reporting and,
• no retaliation or retribution for bringing forth problems/concerns
Place to start with Enforcement is: - Correct Answer Standards of
conduct and P&Ps
For Enforcement and Disciplinary Actions, Policies should include: -
Correct Answer 1. non-compliant consequences
2. employees duty to report non-compliance
3. list parties responsible for appropriate action
4. outline of disciplinary actions or procedures
,5. promise that discipline will be fair and consistent
New Employee Policy - three checks OIG recommends to
do/perform: - Correct Answer OIG recommends: perform background
checks, reference checks, and exclusion list checks
Which two main documents become tools to build compliance
program? - Correct Answer Code of Conduct and P&Ps
You are the new Compliance Officer, hired after ABC Hospital
reorganized and decided that the General Counsel should no longer
also serve in that role. Upon review of the Code of Conduct (CoC),
you find that it is written using lots of legal jargon. What action do
you take:
a. Keep CoC as it is.
b. Pull a sample off the internet and insert hospital name to save
time as it was most likely written by experts.
c. Rewrite the CoC in plain and concise language tailored to the
hospital so employees can use a general guidance.
d. Rewrite the CoC with detailed restating hospital's P&Ps, and all
laws and regulations possible so that employees can't say they were
not aware of requirements. - Correct Answer c. Rewrite the CoC in
, plain and concise language tailored to the hospital so employees
can use a general guidance.
Explanation:
• CoC should be clear and concise language easy to understand, and
should be tailored to specific issues of the organization
What is the term called for an organization's commitment to
compliance by the board, management, and employees? It
summarizes ethical behavior and legal principles the healthcare
organization operates.
A) Code of Conduct
B) Federal Sentencing Guidelines
C) Internal Controls - Correct Answer A) Code of Conduct
The U.S. Federal Sentencing Commission was organized in _____,
published its initial set of guidelines in _____, and
included chapter eight of the Federal Sentencing Guidelines for
Organizations (FSGO) in _____.
a. 1980, 1987, 1999
b. 1985, 1987, 1991
c. 1980, 1985, 1987
d. 1985, 1990, 2001 - Correct Answer b. 1985, 1987, 1991