Conduct Final Exam Fully Solved.
"...it cannot be emphasized enough that the only thing worse than not having a policy is having
a policy and not following it." This statement refers to which of the 7 Compliance Program
Elements"
a. code of conduct
b. compliance administration (Officer/Committee)
c. education
d. monitoring and auditing
e. reporting and investigating
f. enforcement and discipline
g. response and prevention - Answer a. code of conduct
What demonstrate the organization's ethical attitude and its enterprise wide emphasis on
compliance with all applicable laws and regulations?
a. mission statement
b. standards of conduct
c. employee handbook - Answer b. standards of conduct
Which of the following should be considered when evaluating a potential COI?
a. compensation rates
b. organizational status
c. length of employment
d. business relationships - Answer d. business relationships
A compliance professional has been working with a department director to implement a new
policy regarding timely completion of medical records. Which of the following should be
completed by the department manager to support compliance with the new policy?
a. Statistically valid sampling audit
b. Monitoring
c. Discovery Audit
d. Retrospective Audit - Answer b. Monitoring
,A record retention policy must be based on
a. AHIMA requirements
b. applicable state laws
c. state insurance commissioner's requirements
d. applicable electronic health record constraints - Answer b. applicable state laws
According to HHS-OIG - Proper documentation protect patients, providers and __________?
a. people
b. covered entities
c. programs - Answer c. programs
An employee violated the non-retaliation policy, by spreading rumors about the employee who
reported him. The compliance professional's first action is to:
a. Create formal hearing for the violator
b. Pursue legal consequence against violator before pursuing work consequences
c. Recommend disciplinary actions against the violator of the non-retaliation policy
d. Dismiss both employees from work - Answer c. Recommend disciplinary actions against
the violator of the non-retaliation policy
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
Code of Conduct Purpose:
a. elevate corporate performance in basic business relationships
b. confirms that the organization upholds and supports proper compliance conduct
c. To provide a process for proper decision making
d. all of the above - Answer d. all of the above
Code of conduct supersedes which of the following:
, a. Department's policy and procedure
b. State Law and Regulation
c. Federal Laws and Regulation
d. None of the answers - Answer d. None of the answers
Fill in the blanks:
The OIG CPG states: Standards of _______ should articulate hospital's commitment to comply
with Federal and state standards..... they should state the organization's mission, goals, and
ethical requirements of compliance and reflect a carefully crafted, clear expression of
expectations for all hospital governing body members, officers, managers, employees,
physicians, and, where appropriate, _______ and other agents.
a. guidelines/contractors
b. conduct/strangers
c. conduct/contractors
d. none of the above - Answer c. conduct/contractors
For Enforcement and Disciplinary Actions, Policies should include:
a. non-compliant consequences
b. employees duty to report non-compliance
c. outline of disciplinary actions or procedures
d. promise that discipline will be fair and inconsistent
e. all of the above
f. a, b, c - Answer f. a, b, c
a. non-compliant consequences
b. employees duty to report non-compliance
c. outline of disciplinary actions or procedures
OIG suggests which check (s) be performed for new hires under the new hire guidelines.
a. background
b. reference
c. exclusion
d. all of the above - Answer d. all of the above