QUESTIONS
AND ANSWERS
ALL VERIFIED
2026
OASISBdataBareBusedBtoBassessBtheB___BofBhomeBhealthBservices.B-
BAnswerBOutcome
ABstatementBorBguidelineBthatBdirectsBdecisionBmakingBorBbehaviorBisBcalledB
a:B-BAnswerBPolicy
ExamplesBofBhigh-
riskBbillingBpracticesBthatBcreateBcomplianceBrisksBforBhealthcareBorganizations
BincludeBallBofBtheBfollowing,Bexcept:B-BAnswerBReturnedBOverpayments
HealthcareBfraudBisBallBofBtheBfollowingBexcept:B-
BAnswerBUnnecessaryBCostsBtoBaBprogram
CorporateBcomplianceBprogramsBbecameBcommonBafterBadoptionBofBwhichBof
BtheBfollowing:B-BAnswerBFederalBSentencingBGuidelines
WhichBofBtheBfollowingBisBaBlegalBconcernBregardingBtheBEHR?B-
BAnswerBAbilityBtoBsubpoenaBauditBtrails.
,TheBactBofBgrantingBapprovalBtoBaBhealthcareBorganizationBbasedBonBwhether
BtheBorganizationBhasBmetBaBsetBofBvoluntaryBstandardsBisBcalled:B-
BAnswerBAccreditation
ABgroupBpracticeBhasBhiredBanBHITBasBitsBchiefBcomplianceBofficer.BTheBcurr
entBcomplianceBprogramBincludesBwrittenBstandardsBofBconductBandBpoliciesB
andBproceduresBthatBaddressBspecificBareasBofBpotentialBfraud.BItBalsoBhasBa
uditsBinBplaceBtoBmonitorBcompliance.BWhichBofBtheBfollowingBshouldBtheBco
mplianceBofficerBalsoBensureBareBinBplace?B-
BAnswerBABhotlineBtoBreceiveBcomplaintsBandBadoptionBofBproceduresBtoBpr
otectBwhistleblowersBfromBretaliation
InBdevelopingBaBcodingBcomplianceBprogram,BwhichBofBtheBfollowingBwouldBn
otBbeBordinarilyBincludedBasBparticipantsBinBcodingBcomplianceBeducation?B-
BAnswerBNursingBStaff
WhichBofBtheBfollowingBorganizationsBwithinBtheBfederalBgovernmentBisBrespon
sibleBforBlookingBatBtheBissuesBrelatedBtoBtheBefficiencyBandBeffectivenessBof
BtheBhealthcareBdeliveryBsystem,BdiseaseBprotocols,BandBguidelinesBforBimpro
vedBdiseaseBoutcomes?B-
BAnswerBAgencyBforBHealthcareBResearchBandBQualityB(AHRQ)
WhichBofBtheBfollowingBissuesBcomplianceBprogramBguidance?B-
BAnswerBHHSBOfficeBofBInspectorBGeneralB(OIG)
WhichBofBtheBfollowingBisBanBexampleBofBdataBsecurity?B-
BAnswerBAutomaticBlogoffBafterBinactivity
ABpatientBhasBbeenBdischargedBpriorBtoBanBadministrativeButilizationBreviewBb
eingBconducted.BWhichBofBtheBfollowingBshouldBbeBperformed?B-
BAnswerBRetrospectiveBUtilizationBReview
AnBEHRBsystemBcanBprovideBbetterBsecurityBthanBaBpaperBrecordBforBprotect
edBhealthBinformationBsystemBdueBto:B-
BAnswerBAccessBcontrols,BauditBtrails,BandBauthenticationBsystems
,CommunityBHospitalBwantsBtoBprovideBtranscriptionBservicesBforBtranscriptionB
ofBofficeBnotesBofBtheBprivateBpatientsBofBphysicians.BAllBofBtheseBphysicians
BhaveBmedicalBstaffBprivilegesBatBtheBhospital.BThisBwillBprovideBanBessential
BserviceBtoBtheBphysiciansBasBwellBasBprovideBadditionalBrevenueBforBtheBho
spital.BInBpreparingBtoBlaunchBthisBservice,BtheBHIMBdirectorBisBaskedBwheth
erBaBbusinessBassociateBagreementBisBnecessary.BWhichBofBtheBfollowingBsh
ouldBtheBhospitalBHIMBdirectorBadviseBtoBcomplyBwithBHIPAABregulations?B-
BAnswerBEachBphysicianBpracticeBshouldBobtainBaBbusinessBassociateBagree
mentBwithBtheBhospital
WhichBaccreditingBorganizationBhasBinstitutedBcontinuousBimprovementBandBse
ntinelBeventBmonitoringBandBusesBtracerBmethodologyBduringBsurveyBvisits?B-
BAnswerBTheBJointBCommission
Developing,Bimplementing,BandBrevisingBtheBorganization'sBpoliciesBisBtheBrole
Bof:B-BAnswerBMiddleBManagers
PositionBdescriptions,BpoliciesBandBprocedures,BtrainingBchecklists,BandBperfor
manceBstandardsBareBallBexamplesBof:B-BAnswerBStaffingBTools
ThisBorganizationBhasBbeenBresponsibleBforBaccreditingBhealthcareBorganizatio
nsBsinceBtheBmidB1950'sBandBdeterminesBwhetherBtheBorganizationBisBcontinu
allyBmonitoringBandBimprovingBtheBqualityBofBcareBtheyBprovide.B-
BAnswerBTheBJointBCommission
WhichBofBtheBfollowingBisBaBwrittenBdescriptionBofBanBorganization'sBformalBp
osition?B-BAnswerBPolicy
TheBDeficitBReductionBActBofB2005:B-
BAnswerBMadeBcomplianceBprogramsBmandatory
WhichBofBtheBfollowingBstatementsBbestBdefinesButilizationBmanagement?B-
BAnswerBItBisBaBsetBofBprocessesBusedBtoBdetermineBtheBappropriatenessBo
fBmedicalBservicesBprovidedBduringBspecificBepisodesBofBcare
, WhichBofBtheBfollowingBisBnotBaBtypeBofButilizationBreview?B-
BAnswerBPeerBReview
WhichBofBtheBfollowingBisBnotBoneBofBtheBbasicBfunctionsBofBtheButilizationBr
eviewBprocess?B-BAnswerBClaimsBManagement
TheBMedicalBReviewBCommitteeBwantsBtoBdetermineBifBtheBhospitalBisBinBco
mplianceBwithBJointBCommissionBstandardsBforBmedicalBrecordBdelinquencyBra
tes.BTheBHIMBDirectorBhasBcompiledBaBreportBthatBshowsBthatBrecordsBareB
delinquentBforBanBaverageBofB29BdaysBafterBdischarge.BGivenBthisBinformatio
n,BwhatBcanBtheBCommitteeBconclude?B-
BAnswerBDataBareBinsufficientBtoBdetermineBwhetherBtheBhospitalBisBinBcomp
liance
WhichBofBtheBfollowingBisBtheBlargestBhealthcareBstandards-
settingBbodyBinBtheBworld?B-BAnswerBTheBJointBCommission
WhichBofBtheBfollowingBisBtheBlargestBhealthcareBstandards-
settingBbodyBinBtheBworld?B-BAnswerBTheBJointBCommission
CommunityBHospitalBwantsBtoBofferBinformationBtechnologyBservicesBtoBCityBH
ospital,BanotherBsmallerBhospitalBinBtheBarea.BThisBarrangementBwillBfinanciall
yBhelpBbothBinstitutions.BInBreviewingBtheBprocessBtoBestablishBthisBarrangem
ent,BtheBCEOBasksBtheBHIMBdirectorBifBthereBareBanyBbarriersBtoBestablishin
gBthisBrelationshipBwithBregardBtoBHIPAA.BInBthisBsituation,BwhichBofBtheBfoll
owingBshouldBtheBHIMBdirectorBadvise?B-
BAnswerBCityBHospitalBshouldBobtainBaBbusinessBassociateBagreementBwithB
CommunityBHospital
WhichBofBtheBfollowingBfacilitiesBdoBnotBhaveBtoBmeetBstandardsBinBtheBCon
ditionsBofBParticipation?B-BAnswerBPhysicianBOffices
AnBauditBtrailBmayBbeBusedBtoBdetectBwhichBofBtheBfollowing:B-
BAnswerBUnauthorizedBaccessBtoBsystem