Ch8 Test Questions & Answers Compliance Plans

Chapter 8: Compliance Plans

1. The process of obeying rules, regulations, and laws is known as:

a. Obedience.

b. Due diligence.

c. Compliance.

d. Qui tam.

Page Ref: 140

2. All compliance plans should include a clear explanation of the ________ for failing to follow the policies of the organization.

a. consequences

b. benefits

c. guidelines

d. support available

Page Ref: 140

3. It is important that the compliance plan includes a secure process for employees, vendors, and patients to report ________ without fear of repercussions.

a. compliant activities

b. technical glitches

c. alleged violations

d. excellent service

Page Ref: 140

4. Investigations initiated by the administration of the organization designed to identify quality as well as human error or wrong-doing are known as:

a. External audits.

b. Internal audits.

c. Employee reviews.

d. Due diligence.

Page Ref: 141

5. External audits:

a. Are initiated by the facility administration.

b. Investigate the physical environment around the facility.

c. Evaluate air quality control.

d. Are initiated by a regulating authority.

Page Ref: 141

6. When an attitude of ________ is proliferated throughout the organization, everyone benefits and patient care is improved.

a. excellence

b. non-compliance

c. taking shortcuts

d. individual directions

Page Ref: 141

7. A Qui Tam lawsuit is filed by a/n ________ against the accused institution on behalf of the government.

a. current or former employee

b. current or former patient

c. FBI agent

d. county prosecutor

Page Ref: 142

8. The FSG include seven steps to ensure due diligence is done properly. In this context, FSG stands for:

a. Financial Security Guidelines.

b. Federal Safety Guidelines.

c. Federal Sentencing Guidelines.

d. Financial Sentencing Governance.

Page Ref: 143

9. Only Medicare-participating hospitals must comply with the terms of:

a. The HIPAA Privacy Rule.

b. EMTALA.

c. The federal false claims act.

d. The HIPAA Security Rule.

Page Ref: 143

10. The key to managing a crisis effectively is:

a. Advance planning.

b. Offering safe harbor.

c. Immediate lock-down.

d. Never saying you’re sorry.

Page Ref: 143

11. Organizational policies and procedures should provide your staff with:

a. Questions to ask about compliance.

b. Solid direction for compliance.

c. Ways around compliance.

d. Nothing about compliance.

Page Ref: 144

12. In those cases when an employee does not comply, policies should clearly state:

a. Consequences.

b. Accolades.

c. Bonus schedule.

d. That no one should ever mention it.

Page Ref: 147

13. It is a sign of ________ to explain the foundations of the policies to your staff.

a. weakness

b. contempt

c. respect

d. submissiveness

Page Ref: 146

14. A reporting system to permit staff to report an alleged violation might include:

a. Voluntary DNA tests.

b. Hotline phone number.

c. A “tattler” t-shirt.

d. All of the above.

Page Ref: 144

15. Realistic objective monitoring devices might include:

a. Cameras in every corner of the office.

b. RFID chips in paper records.

c. An EHR log of who opens patient records.

d. b and c only.

Page Ref: 145

16. Conducting regularly scheduled ________ will reveal any violations relating to billing and claims.

a. department meetings

b. audits

c. searches of desks

d. interrogations

Page Ref: 145

17. The HITECH Breach of Notification Rule requires covered entities to report:

a. All accusations of impermissible use of PHI.

b. The results of every internal audit.

c. Impermissible use of protected health information (PHI).

d. The names of security personnel.

Page Ref: 145

18. Once a breach is identified, you will need to:

a. Hide the documentation.

b. Fire everyone on the spot.

c. Ensure everyone is sworn to secrecy.

d. Determine the cause of the breach.

Page Ref: 146

19. An appropriate consequence for breaching a policy may be:

a. Verbal warning.

b. Written warning.

c. Additional training/education.

d. Any of the above.

Page Ref: 147

20. A migrating circumstance is one that:

a. Magnifies the consequences of a wrong.

b. Partially excuses a wrong.

c. Prevents wrong-doing.

d. Is cause for immediate termination.

Page Ref: 147

21. When there is need for corrective action with an employee, but there is benefit to retaining this individual on the staff, one punishment may be:

a. To ignore the event.

b. To give the employee a second chance.

c. Suspension without pay.

d. Promotion to a different department.

Page Ref: 147

22. Good project management skills begin with:

a. An overview of the entire project.

b. Delegation of work tasks.

c. Creation of a timeline.

d. Establishing quality standards.

Page Ref: 147

23. A project management chart may be helpful, such as the PERT, which stands for

a. Project Efficiency and Report Timeline.

b. Program Effectiveness and Routine Tasks.

c. Program Evaluation and Review Technique.

d. Project Evaluation and Routine Timeline.

Page Ref: 148

24. Federal sentencing Guidelines may reduce fines and penalties by as much as ________ when a compliance plan has been created and implemented using the seven elements guidance.

a. 10%

b. 25%

c. 55%

d. 70%

Page Ref: 149

25. A reporting system should permit individuals to bring violations to the attention of the administrator:

a. With the intent to get someone fired.

b. Without fear of repercussion.

c. To get on your good side.

d. To avoid suspicion.

Page Ref: 144