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CHC Exam Prep Questions & 100% Correct Answers- Latest Test | Graded A+ | Passed

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What is the False Claims Act? When was it amended? -:- -Legislation that prohibits anyone from knowingly submitting or causing to be submitted a false or fraudulent claim. -It allows individuals to file lawsuits on behalf of the U.S. Government and may receive a portion of the government's r...

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  • September 4, 2024
  • 93
  • 2024/2025
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2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!



CHC Exam Prep Questions & 100% Correct
Answers- Latest Test | Graded A+ | Passed
What is the False Claims Act? When was it amended?


✓ -:- -Legislation that prohibits anyone from knowingly submitting or causing to be

submitted a false or fraudulent claim.




-It allows individuals to file lawsuits on behalf of the U.S. Government and may receive a

portion of the government's recovery.




-1986.




What are the U.S Federal Sentencing Guidelines?


When was the Federal Sentencing Commission Organized?


When were the Guidelines first published?


When were the Guidelines Amended?


And what did the amendment include?




1|Page | Grade A+| 2024/2025

,2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!

✓ -:- Guidelines developed by the US. Federal Sentencing Commission that set out a

uniform policy for sentencing individuals and organizations of felonies and serious

misdemeanors.

- 1985.


- Published in 1987.


-Amended in 1991 - Included 7 elements of a Compliance Program.




What Chapter of the U.S Federal Sentencing Guidelines focuses on compliance programs

for organizations?


✓ -:- Chapter 8.




What are the 7 elements of a compliance program?


✓ -:- 1. Policies & Procedures.

2. Program Administration - Compliance Officer & Committee.


3. Training & Education.


4. Effective Lines of Communication.


5. Internal Monitoring & Auditing.


6. Disciplinary Guidelines.


7. Corrective Action.



2|Page | Grade A+| 2024/2025

,2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!




What is a Corporate Integrity Agreement?


✓ -:- A negotiated settlement between an organization and the government in which

the provider accepts no liability but must agree to implement a strict plan of

government-supervised corrective action.




What is the Health Care Fraud and Abuse Control Program?


When was it established?


What law mandated its creation?


✓ -:- It's a program that coordinates federal, state, and local law enforcement

activities to combat fraud and abuse in the healthcare sector.




1997.




HIPAA.




HHS OIG issued "Practical Guidance for Health Care Governing Boards on Compliance

Oversight" in what year?




3|Page | Grade A+| 2024/2025

, 2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!

What law outlined the use of exclusion from federal health programs?


✓ -:- 2015.




Social Security Act.




OIG and HCCA issued "Measuring Compliance Program Effectiveness - A Resource Guide"

in what year?


✓ -:- 2017.




What are the benefits of a compliance program?


✓ -:- * Good corporate conduct and quality of care.

* Protects patient rights and privacy.


* Detects criminal and unethical conduct.


* Centralized resource for info. on healthcare regulations.


* Encourages reporting w/o retaliation.


* Allows for prompt/thorough investigations.


* Initiates in RCAs and CAPs.


* Reduces exposure to:


-civil damages and penalties


4|Page | Grade A+| 2024/2025

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