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
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,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
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, 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
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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
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