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Exam (elaborations)

HCCA Test Questions And Answers With Verified Updates

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What elements should your code of conduct include? - -Tone from the top -Alignment with the organizations, mission, vision, values, culture, and history -Brief and easily readable -Conceptually covers general principles of conduct applicable to all members of the organization -incorporation of ...

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  • August 22, 2024
  • 11
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • HCCA
  • HCCA
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ACADEMICMATERIALS
HCCA Test
What elements should your code of conduct include? - -Tone from the top

-Alignment with the organizations, mission, vision, values, culture, and history

-Brief and easily readable

-Conceptually covers general principles of conduct applicable to all members of the organization

-incorporation of real life examples

-Conceptual approach to use your code of conduct should be inspiring, motivational, and encouraging



Deficit Reduction Act of 2005 (FOR MEDICAID) - Requires entities that receive or make payments
under a state Medicaid plan of at least $5 million to have a compliance program



Compliance program staff needs- - Sufficient resources, investment, enough authority, access to
data and people, diversity of skill set



"The ""New Deal"" of the 1930s - Promoted growth of government/rulemaking



1942 War Labor Board - Wage freeze, fringe benefits up to 5% didn't count, employers started
offering health insurance



1973 health maintenance organization (HMO) Act - $300 million to start up, managed care
organizations; requires many employers to offer HMO coverage to employees



2010-present healthcare regulation - Electronic health record; affordable care act; accountable
care organizations; health care exchange



A code of conduct creates a standard of behavior that aligns all stakeholders to a ______ approach -
Single



Access to the board: - CCO should have direct access to the board and have regular meetings

, After reporting the risk assessment to the board, what comes next? - Corrective action planning
and implementation



Benefits of a compliance program - Employee engagement, continuous process of improvement,
good business practices to identify and prevent risks



Best practices (code of conduct) - -Visually appealing

-looks and feels like the organization with color schemes, logos, phrases, pictures of employees

-Contact information for questions or concerns

-Addresses key topics of interest/risk such as billing integrity, privacy of patient, information, physician,
relations, workplace behavior

-annual attestation of receipt, understanding, and adherence by key stakeholders

-Refer to the code of conduct often when answering questions, addressing issues - use code of conduct
as a resource



Board of directors responsibility: - Knowledgeable about content and operation of compliance
program and program oversight- help set the tone at the top



CCO reports directly to: - CEO



CCO- - Maintains credibility and integrity of the program



Civil Monetary Penalties - Federal agencies were given authority to issue penalties to address
noncompliance



Compliance guidelines incorporate many concepts from the - Defense industry initiative



Compliance programs become mandatory - 1998- Centers for Medicare and Medicaid Services
(CMS) require such organizations to establish a plan for complying with all applicable federal and state
standards

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