FREE AND STUDY GAMES ABOUT CHC STUDY QA EXAM

PDF Download FREE AND STUDY GAMES ABOUT CHC STUDY Q&A EXAM

QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -30 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: What is the HR function?

Answer:

It manages recruiting, screening, and hiring provides training and development

Question 2: Step 1 for CP per FSG Standards Policies & Procedures

Answer:

Exercise due diligence to prevent & detect criminal conduct, promote Co. culture for commitment to compliance, law & CP. Shall establish standards, policies, procedure to detect & prevent criminal conduct.

Question 3: What are the oversight committee responsibility?

Answer:

The committee is recommended by the OIG, review goals & objectives of comp program, oversee implementation & operations of comp program, review reports,trends & recommendations from CO & annual review & evaluation of comp program.

Question 4: What are some characteristics of a compliance officer?

Answer:

Leadership skills, should have trust & respect from leaders and staff, should have a background in healthcare

Question 5: What is a policy?

Answer:

A guide or governing principle, rules that govern the organization.

Question 6: What contents should a policy include?

Answer:

Title, policy #, purpose statement, definitions, responsible parties, effective date, review date, effect of non compliance.

Question 7: What does the compliance program infrastructure consist of?

Answer:

BODs, Oversight Committee, Management, Drs., Compliance Office and Staff

Question 8: What is the basic framework of the Co,?

Answer:

The compliance infrastructure

Question 9: What should the composition of the oversight committee include ?

Answer:

Chair, Drs., Compliance Officer, BODs, Coding/Billing Expert, Senior Management and Legal Counsel.

Question 10: What are some examples of compliance policies?

Answer:

Non-retaliation, record retention, conflict of interest, auditing & monitoring, investigations,

Question 11: What is a procedure?

Answer:

It defines the implementation of the policy and outlines steps to be taken

Question 12: What should a compliance officer and physicians do?

Answer:

Compliance officer should obtain buy-in, educate that compliance is a necessity, spend one on one time with physicians and train documentation & coding responsibility.

Question 13: What should a compliance officer & senior management do?

Answer:

Provide a written statement of compliance expectations, spend more time with management walk the walk and talk the talk

Question 14: What is the legal function?

Answer:

advises the Co. on legal and regulatory risks defends the Co.Question 15: What type of policies and procedures should a Co. implement consistent with a compliance program?

Answer:

Coding, overpayment, non-retaliation, inter/external compliance audits processes, records retention, conflict of interest, confidentially, privacy, regulatory requirements (EMTALA, CLIA, Labors, Stark, Anti-kick, Research), gifts, waivers co-pay & deduc

Question 16: What is the internal audit function?

Answer:

It provides an objective evaluation of the existing risk and internal controls and framework.

Question 17: What is the compliance function?

Answer:

Prevention, detection and resolution of actions/issues.

Question 18: What are the compliance officers responsibilities?

Answer:

Should have direct board access, should be a high level individual, Communicator and should have operational responsibility in order to manage daily compliance operations and implementation.

Question 19: Why should a Co. have policies and procedures?

Answer:

It tells employees how to act (eval. accountability and discipline), improves workflow, bring consistency and clarity to all staff.

Question 20: What is the Co.'s Code of Conduct requirements?

Answer:

It should be reviewed annually, signed attestation of annual review, training provided, compliance enforcement & consistent, discipline for non compliance, hotline & no retaliation should be listed.

Question 21: What impacts the compliance program infrastructure?

Answer:

Size of Co., Resources (budget, people & training) & scope of program (what are you responsible for)

Question 22: What are issues to considered for a compliance workplan?

Answer:

The possibility of having to reschedule planned items, reviewing OIG's workplan & issued identified within same & the Co.'s prior year pending items/investigations (audits, policies, training, items from Risk Assessment)

Question 23: What is the Co.'s Code of Conduct?

Answer:

Their ethical attitude, emphasis compliance w/ all laws, Applies to all, Tailored to culture & business.Should be plain, concise and in all necessary languages.

Question 24: What are the BODs responsibilities?

Answer:

To understand the comp program background, to be fully engaged in the oversight of the comp program, Adopt a resolution letter (with outline of duties, commitment to CP and reporting requirements for all compliance issues), to know their responsibility

Question 25: What is a compliance workplan?

Answer:

An annual roadmap developed with management, communicated to necessary staff and changed as necessary throughout the year.