FINAL BANK | FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!!! LATEST UPDATE
Q&A 2026 -2027
Which statement is TRUE regarding compliance programs?
a. Compliance programs are considered more dangerous if
they are developed but not implemented.
b. Compliance programs can detect but not prevent criminal conduct
c. Compliance programs are only required by law for healthcare
entities that have more than $500,000 in annual revenue.
d. Compliance programs are not mandated by law.
a. Compliance programs are considered more dangerous if
they are developed but not implemented.
An individual's understanding of the compliance aspects of their
job can BEST be enhanced by including compliance in:
a. annual evaluations
b. exit interviews
c. HR benefit materials
d. audit committee meetings
a. annual evaluations
, Formal statement outlining a plan for a specified subject area. It
usually cites state and/or federal required actions or standards.
a. CAP
b. Procedure document
c. Policy document
d. Legal standards
c. Policy document
CAP - outlines corrective action plan
Procedure - describes process/steps under a certain
criteria Legal standards - mandatory action or rule
Code of Conduct: Content Checklist
• Demonstrate system wide emphasis on compliance with
all applicable laws and regulations
• Written plainly and concisely so all employees can
understand the standards
• Includes internal and external regulations
• Mentions organizational policies without completely restating
them
• Is consistent with company policies and procedures
• Includes management's responsibility to explain and enforce
the code
Ref: SCCE Compliance & Ethics Manual, Chapter 2
https://compliancecosmos.org/essential-elements-effective-
ethics-and- compliance-program
,Life cycle of records management
Creation
Use
Maintenance
Retention
Disposition
Standards of Conduct (written P&Ps)
Demonstrate the organization's ethical attitude and its "enterprise-
wide" emphasis on compliance with all applicable laws and
regulations
Code of Conduct and Employees
All employees must receive, read, and understand the standards.
A supervisor should explain the standards and answer any
questions. Employee should attest in writing that they have
received, read, and understood the standards
Employee compliance with standards must be enforced through
appropriate discipline when necessary
Discipline for non-compliance should be stated in the standards
, Code of Conduct Purpose
• To present specific guidelines for employees to follow
• To confirm that all employees comprehend what is required of them
• To provide a process for proper decision making
• To confirm that employees put standards into everyday practice
• To elevate corporate performance in basic business relationship
• To confirm that the organization upholds and supports proper
compliance conduct
Every organization needs policies and procedures for:
• Internal assessments
• Record retention (where, how long)
• Self-disclosure
• Medicare sanction checks (LEIE)
• Billing policies
• Credit balance
• No charge visits
• Incomplete/unsuccessful procedure
• Documentation requirements