CHC Random Study Questions 1| WITH 100% CORRECT ANSWERS

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Compliance means (Compliance Program) Correct Answer: Adherence to laws and regulations, as well as principles of ethical conduct OIG urges the ____________ to assist in the implementation of the ... compliance program and serves as advisors. A. Board B. CEO C. Compliance Committee D. Quality Committee Correct Answer: C. Compliance Committee A compliance professional is reviewing the policies and procedures for exclusion verifications. The policy does not state frequency of exclusion verifications. How frequent should exclusion verifications be performed? a. Annually b. Bi-annually c. Monthly d. Semi-annually Correct Answer: c. monthly (as recommended by OIG to avoid risk) A hospital medical staff office is conducting its monthly review of the Excluded Parties List System (EPLS). The compliance officer is called by the manager of the medical staff office and informed that Dr. Smith, a surgeon who took call 5 times last month for the Emergency Department, was excluded on a date prior to those dates when the surgeon took call. In other words, the effective date of the exclusion involving the surgeon was 4/1/2019 and the surgeon took call and provided surgical services to patients in the ED on 4/13/19, 4/20/19, and 4/27/2019. What is the NEXT action the compliance officer should do? a. Contact the ED and make sure that the involved surgeon is removed from taking any more on call shifts. b. Have the medical office check if the surgeon is listed on other exclusion lists. c. Contact legal counsel to alert of the need to pay back reimbursement received for services provided by an excluded individual. d. Hold all surgical service related bills associated with the ED so that none are released to any payers which may involve this surgeon. Correct Answer: b. Have the medical office check if the surgeon is listed on other exclusion lists OIG can impose mandatory exclusion for a minimum of..? Correct Answer: 5 years True or False: An excluded individual is automatically reinstated at the end of an exclusion term Correct Answer: FALSE - An excluded individual must apply for reinstatement at the end of their exclusion term [Show More]

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