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1. A healthcare organization is developing a compliance program. Which
element is considered foundational according to federal guidance
A. Marketing strategy
B. Written policies and procedures
C. Patient satisfaction surveys
D. Revenue cycle optimization
✔ Correct Answer: B (Written policies and procedures)
Written policies and procedures establish the framework for compliance
expectations, ensuring consistent standards aligned with regulatory
requirements.
,2. The primary role of a Compliance Officer includes
A. Managing clinical care delivery
B. Overseeing billing accuracy only
C. Developing and implementing compliance programs
D. Performing surgeries
✔ Correct Answer: C (Developing and implementing compliance
programs)
The Compliance Officer is responsible for designing, implementing, and
maintaining an effective compliance program across the organization.
3. Under HIPAA, Protected Health Information (PHI) excludes
A. Medical records
B. Billing information
C. Employment records unrelated to healthcare
D. Patient identifiers
✔ Correct Answer: C (Employment records unrelated to healthcare)
HIPAA does not apply to employment records held by a covered entity in its
role as an employer.
4. A risk assessment should be conducted
A. Once every 10 years
B. Only after violations occur
C. Regularly and proactively
D. Only when required by law enforcement
✔ Correct Answer: C (Regularly and proactively)
Routine risk assessments help identify vulnerabilities and prevent
compliance issues before they occur.
5. Which law primarily addresses fraud and abuse in healthcare
A. HIPAA
B. Stark Law
C. EMTALA
D. ADA
✔ Correct Answer: B (Stark Law)
, The Stark Law prohibits physician self-referrals, a key area of fraud and
abuse regulation.
6. What is the purpose of the OIG Work Plan
A. Provide clinical guidelines
B. Outline enforcement priorities
C. Manage hospital staffing
D. Define patient rights
✔ Correct Answer: B (Outline enforcement priorities)
The OIG Work Plan identifies focus areas for audits and investigations in
healthcare compliance.
7. A hotline in a compliance program is used for
A. Marketing campaigns
B. Reporting suspected misconduct
C. Patient billing
D. Clinical consultations
✔ Correct Answer: B (Reporting suspected misconduct)
Hotlines provide confidential mechanisms for reporting compliance
concerns.
8. Which is a key component of effective training
A. One-time orientation
B. Annual and role-specific education
C. No documentation
D. Optional participation
✔ Correct Answer: B (Annual and role-specific education)
Ongoing, tailored training ensures staff understand compliance obligations
relevant to their roles.
9. EMTALA requires hospitals to
A. Bill patients promptly
B. Provide emergency treatment regardless of ability to pay
C. Report all infections