Compliance Training Quiz: MCQ Trivia!

20 Questions | Total Attempts: 1456

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Compliance Training Quiz: MCQ Trivia!

Compliance training quiz: MCQ trivia! It is important for a place of work or a profession to have some rules they should abide in. In the quiz below, you will test if you understood the topics covered in training. Do give them a look and see if the options you choose are expected of someone in your position of not. All the best and work on what you get wrong!


Questions and Answers
  • 1. 
    Compliance is defined as
    • A. 

      A yielding; as to a desire or a demand.

    • B. 

      The act of complying; a yielding; as to a desire, demand, or proposal.

    • C. 

      The act of complying; a yielding; as to a desire, demand, or proposal or concession.

    • D. 

      The act of complying; a yielding; as to a desire, demand, or proposal; concession; submission.

    • E. 

      All of the above

  • 2. 
    Nationwide’s risk of fraud and abuse arising out of?
    • A. 

      Our inability to respond to Medicare payor medical records demands.

    • B. 

      Our ability to pay for, or induce more referrals from our referral sources.

    • C. 

      Our relationships with referral sources and our submission of information to payers and regulatory agencies.

    • D. 

      The fact that healthcare is a highly regulated industry.

  • 3. 
    This law makes it illegal for providers to knowingly and willfully offering, paying, soliciting, or receiving, directly or indirectly, anything of value if the purpose is to ‘induce’ referrals.
    • A. 

      The Anti-kickback statute

    • B. 

      The Anti-solicitation provisions

    • C. 

      The Stark Law

    • D. 

      The False Claims Act

    • E. 

      Civil Monetary Penalty

  • 4. 
    All are examples of Fraud and Abuse, except:
    • A. 

      Falsely certifying that services were medically necessary

    • B. 

      Billing for durable medical equipment and/or supplies not delivered

    • C. 

      Accidentally disclosing a patient’s protected health information to another organization without an authorization from the patient.

    • D. 

      Soliciting, offering or receiving a kickback, bribe or rebate in exchange for patient referrals.

  • 5. 
    The penalties for a Stark Law violation are
    • A. 

      Up to $15,000 for each service with the refund of illegal amounts added in

    • B. 

      5 years imprisonment and $10,000 for each claim billed in violation

    • C. 

      $25,000 and loss of federal provider status

    • D. 

      No penalties assessed

  • 6. 
    As a healthcare organization, NMI MUSTcomply because:
    • A. 

      Health care is highly regulated –specifically federal healthcare payor programs.

    • B. 

      Many activities that are perfectly legal in other industries are not legal in the health care field.

    • C. 

      Complying makes good business sense as an effective compliance program helps organizations identify and address specific risk areas.

    • D. 

      Federal and state governments are increasing enforcement actions against out-of-compliance providers and suppliers.

    • E. 

      All of the above.

  • 7. 
    Since NMI has a Compliance Officer, you only need to concern yourself with your day-to-day activities and not concern yourself with complying with all policies and procedures.
    • A. 

      True

    • B. 

      False

  • 8. 
    NMI's Compliance Program generally identifies substantive risk areas and NMI's approach to addressing such risks.
    • A. 

      True

    • B. 

      False

  • 9. 
    NMI's Compliance Program sets forth the means by which the Code of Conduct is to be implemented and monitored.
    • A. 

      True

    • B. 

      False

  • 10. 
    NMI's Compliance Program meets the requirements of Corporate Sentencing Guidelines and is designed to generally be effective in preventing and deterring criminal conduct. 
    • A. 

      True

    • B. 

      False

  • 11. 
    NMI's Compliance Program describes the steps Nationwide Medical Inc. has taken to ensure compliance with the code. 
    • A. 

      True

    • B. 

      False

  • 12. 
    NMI’s Code of Conduct is a statement of policy that applies to ALL employees and contractors.
    • A. 

      True

    • B. 

      False

  • 13. 
    NMI’s Code of Conduct addresses all of the following risk areas, except:
    • A. 

      1.Compliance with Laws and Regulations

    • B. 

      2.Stock and securities trading

    • C. 

      3.Billing and Financial Accounting

    • D. 

      4.Conflicts of Interest

    • E. 

      5.Fraud Information

    • F. 

      6.Universal Healthcare

    • G. 

      7.Assignment of Inventions

    • H. 

      8.Physician Orders/Medical Documentation

    • I. 

      9.Confidential Business Information

    • J. 

      10.Employees’ Right and Obligations

    • K. 

      11.Privacy of Medical Information

    • L. 

      12.Health Insurance Premium Increases

    • M. 

      13.Marketing

    • N. 

      14.Antitrust and Trade Regulation

    • O. 

      15.Work Environment

    • P. 

      16.Homeland Security

    • Q. 

      17.Reporting of Violations

    • R. 

      18.Discipline for Violations

  • 14. 
    The applicable laws that can affect NMI’s business operations and compliance include the following, except:
    • A. 

      1.Federal Anti-kickback Statute

    • B. 

      2.Managed Health Care Laws

    • C. 

      3.Stark Law

    • D. 

      4.Medicare Anti-Solicitation Statute

    • E. 

      5.Medicare Anti-Inducement Statute

    • F. 

      6.State Anti-Kickback Statute

    • G. 

      7.False Claims Laws

    • H. 

      8.Civil Monetary Penalty Law

  • 15. 
    You work from 8am to 5 pm for NMI and then leave to work for a direct competitor from 6 pm to 10 pm. Is that a possible conflict of interest?
    • A. 

      Yes

    • B. 

      No

    • C. 

      Depends on the specifics of the job

  • 16. 
    HIPAA stands for:
    • A. 

      Health Insurance Portability Act of America

    • B. 

      Health Insurance Portability and Accountability Act

    • C. 

      Hi-Tech Insurance Portability Accountability Act

    • D. 

      Health Insurance Purchase and Accounting Act

  • 17. 
    PHI and PII stand for?
    • A. 

      Protected Health Information and Personally Indentifiable Information

    • B. 

      Protected Health Identification and Personally Identity Information

    • C. 

      Pro-rated Health Information and Purposeful Identifiable Information

    • D. 

      Private Health Information and Personal Information and Identity

  • 18. 
    When are we allowed to use or disclose PHI without an authorization from the patient?
    • A. 

      During the course of treatment, payment and operations

    • B. 

      At any time, so long as we call and notify the patient

    • C. 

      Never, we always need an authorization from the patient

    • D. 

      It depends on state laws governing privacy information

  • 19. 
    The Progressive Discipline Structure applies to only non-management personnel.
    • A. 

      True

    • B. 

      False

  • 20. 
    When you have a concern about a possible compliance violation, it’s best to contact only your direct supervisor.
    • A. 

      True

    • B. 

      False