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!
- 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
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