Chc on compliance - Study guides, Class notes & Summaries

CHC (2023/ 2024) Exam V2 |150 Questions and Verified Answers| 100% Correct Q: Why is Caremark International Derivative Litigation important in Corporate Compliance? Answer: The 1996 U.S. Civil settlement of Caremark International, Inc. Decision established Corporate directors breached their oversight duty by failing to adequately supervise their employees when they knew/should've known a violation of law was occurring. Ref: 698 A.2d 959 (Del. Ch. 1996). Org entered into a 5-year impose...

CHC exam questions and answers 2024 Chapter 8 Federal Sentencing Guidelines (FSG) -Answer-Guidelines and policy in this section apply to sentencing in federal criminal prosecution when the convicted defendant is an organization FSG- 4 factors that increase ultimate punishment of an organization -Answer- 1.Involvement in or tolerance of criminal activity 2.Prior history of the organization 3.The violation of an order 4.The obstruction of justice FSG- The two factors that mitigate the ult...

CHC - CCB |QUESTIONS AND ANSWERS|GRADED A+ 2024| Organizations receiving more than $5 million in Medicaid funds must provide education on the False Claims Act (FCA) in accordance with the: a. Stark Laws b. Deficit Reduction Act (DRA) c. Anti-Kickback (AKS) Law d. Sherman Antitrust Law - answer b. Deficit Reduction Act (DRA) An Organization identifies a potential issue when reviewing personal services and management contracts. Which of the following should the compliance professional cons...

CHC Random Study Questions 1 with Correct Answers 100% Pass Compliance means (Compliance Program) - 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 - ANSWER-C. Compliance Committee A compliance professional is reviewing the policies and procedures for exclusion verifications. The pol...

CHC - CCB Practice Test accuraOrganizations receiving more than $5 million in Medicaid funds must provide education on the False Claims Act (FCA) in accordance with the: a. Stark Laws b. Deficit Reduction Act (DRA) c. Anti-Kickback (AKS) Law d. Sherman Antitrust Law - ANSWER b. Deficit Reduction Act (DRA) An Organization identifies a potential issue when reviewing personal services and management contracts. Which of the following should the compliance professional consider in analyzing th...

CDRE Policies and Standards Exam Questions With 100% Correct Answers You have a high workload. What is expected form you? a) accepting every new client referred b)providing competent, safe and ethical service to each client c)you should see clients with a lower risk first d)you can see clients on a first come first serve basis - answerB You should triage patients. when 2 patients have similar risks, you should consider which intervention would do the most good An RD is from another pro...

HCCA - CHC (MASTER FLASHCARDS) Exam Questions With Answers Latest | Graded A+. According to HHS-OIG - what are three important reasons for proper documentation in Compliance? (hint: protections) - Answer-1.Protect our programs 2.Protect your patients 3.Protect the Provider #:~:text=Proper%20documentation%2C%20both%20in%20patients,to%20prot ect%20you%20the%20provider. At which level of the Medicare Part A or Part B appeals process is the appeal decision by the Office of Medicare Hearings...

CDRE Policies and Standards Exam Questions With 100% Correct Answers You have a high workload. What is expected form you? a) accepting every new client referred b)providing competent, safe and ethical service to each client c)you should see clients with a lower risk first d)you can see clients on a first come first serve basis - answerB You should triage patients. when 2 patients have similar risks, you should consider which intervention would do the most good An RD is from another pro...

HCCA CHC - Stark & Anti Kickback Exam Questions With 100% Verified Answers AntiKickback Statute Highlights - answer1. Criminal/Civil (you go out of business 2. Any federal health program (Medicare, Medicaid, Tri-Care) 3. Requires proof of improper intent (DOJ-Criminal) 4. Applies to any referral source 5. 24 Safe Harbors 6. OIG Advisory Opinions Stark Highlights - answer1. Civil only (no prison time) 2. Medicare only 3. Strict Liability (does not consider knowledge or intent. if X happ...

CHC EXAM: Communication, Education, & Training Exam Questions With 100% Verified Answers Methods to disseminate regulatory guidance materials - answerPost information on Organizations website, discuss complaints as she is during routine staff meetings or at special meetings, provide information about regulations and compliance issues in written form such as through FAQ sheet and posters, Target information to appropriate personnel rather than providing information to all, utilize key info...