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CHPC EXAM NEWEST 2024 -2025 ACTUAL EXAM
COMPLETE 250 QUESTIONS AND CORRECT
DETAILED ANSWERS ( VERIFIED ANSWERS)
|ALREADY GRADED A+ ||BRAND NEW!
A compliance professional discovers non-compliance with a regulation.Which of the following should the compliance professional do FIRST?
- Implement disciplinary actions.
- Conduct a baseline audit.
- Include it in the annual work plan.
- Develop a risk specific education. - ANSWER- b. Conduct a baseline
audit.
What is the period to report misconduct to OIG? - ANSWER- No more than 60 days after there is credible evidence of violation related to payment. No more than 30 days to avoid stricter fines.
True or False:
If a serious allegation, one of sensitive of nature, contact legal to see if attorney-client privilege needs to be attached. - ANSWER- True.
If there is a detection of wrongdoing, what is the second step for the compliance professional? 1 / 4
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- Contact legal counsel
- Begin a thorough investigation
- Contact the CEO
- None of the above - ANSWER- b. Begin a thorough investigation.
True or False:
Response and Prevention Element, the following statement seems
appropriate:
Response: Requires resolution of issues by P&Ps;
Prevention: Requires training people how to conduct investigations. -
ANSWER- True.
Remember, Training/Education is the most important line of defense for a Compliance Program, and the best strategy for prevention.
When considering self-disclosure, you should take the following steps:
- Clarify the issue, ask legal counsel for guidance, and contact outside
- Clarify and confirm it's a potential fraud issue, consult with attorney
- Clarify the issue, contact, OIG, consult outside legal as appropriate. -
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counsel.
who has experience in these matters, and decide where to disclose as appropriate (CMS, OIG, US Attorney, etc.).
ANSWER- b. Clarify and confirm it's a potential fraud issue, consult with attorney who has experience in these matters, and decide where to disclose as appropriate (CMS, OIG, US Attorney, etc.).
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True or False:
Unintentional billing mistakes and overpayments don't need to be reported to the OIG's Self-Disclosure Protocol. These are dealt with the Fiscal Intermediary or CMS contractor for refund process. - ANSWER- True.
According to OIG's Voluntary Self-Disclosure Protocol, overpayment and billing errors that do not violate federal, criminal, civil, or administrative laws do not have to be presented in a special disclosure to the federal government.
When a provider's Self-Disclosure is made in good faith and fully cooperates with the OIG's review and resolution, incentives for
disclosure may include:
- Reduced damages by 10%.
- Lower settlement and no CIA.
- No civil monetary penalties, 100% forgiveness.
- None of the above. - ANSWER- b. Lower settlement and no CIA>
Payment of a lower settlement (or lower multiplier in single damages) and no CIA if the organization has cooperated fully.Reference: OIG's Provider SDP - section I.B: Benefits of Disclosure.
https://oig.hhs.gov/compliance/self-disclosure-info/files/Provider-Self-
Disclosure-Protocol.pdf
Corporate Integrity Agreements (CIA) are negotiated primarily between
the: 3 / 4
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- US attorneys and the hospital.
- DOJ and the provider.
- Federal Sentencing Commission and the organization.
- OIG and the healthcare entity. - ANSWER- d. OIG and the healthcare
entity.
Which of the following governmental bodies has enforcement authority for HIPAA privacy?
- OIG
- FDA
- OCR
- OSHA - ANSWER- d. OCR
True or False:
According to OIG's Self Disclosure Protocol (SDP), the following must
be submitted:
- Internal investigation and findings report.
- Estimate of damages within 90 days of submission or actual damages
- Corrective actions taken and completed prior to disclosure. -
amount.
ANSWER- True
True or False:
OIG's voluntary self-disclosure protocol provides that providers should only report apparent violations of the law. - ANSWER- True.
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