Health care Corporate Compliance Test! Trivia Quiz

1. Corporate Compliance is a formal program designed to support HHC's commitment to follow policies and standards of conduct that ensure we are all in compliance with applicable federal, state and local laws and regulations.

True

False

Corporate Compliance is a formal program that supports an organization's commitment to adhere to policies and standards of conduct in order to comply with applicable laws and regulations. This statement implies that Corporate Compliance is indeed a program designed to support HHC's commitment to follow policies and standards of conduct, making the answer "True" correct.

Explanation

Corporate Compliance is a formal program that supports an organization's commitment to adhere to policies and standards of conduct in order to comply with applicable laws and regulations. This statement implies that Corporate Compliance is indeed a program designed to support HHC's commitment to follow policies and standards of conduct, making the answer "True" correct.

2. Which of the following is a violation of Cornell Scott-Hill Health Center's Compliance Program:

Billing a patient for services they did not receive.

Taking office supplies home for personal use.

Accepting a gift from an HHC vendor.

Referring HHC patients to practice in which you have a financial interest in.

All of the above

None of the above

All of the options listed are violations of Cornell Scott-Hill Health Center's Compliance Program. Billing a patient for services they did not receive is fraudulent and goes against ethical and legal standards. Taking office supplies for personal use is considered theft and misuse of company resources. Accepting a gift from an HHC vendor can create a conflict of interest and compromise the integrity of decision-making. Referring HHC patients to a practice in which you have a financial interest is a violation of anti-kickback laws and can lead to biased referrals. Therefore, all of these actions are violations of the Compliance Program.

Explanation

All of the options listed are violations of Cornell Scott-Hill Health Center's Compliance Program. Billing a patient for services they did not receive is fraudulent and goes against ethical and legal standards. Taking office supplies for personal use is considered theft and misuse of company resources. Accepting a gift from an HHC vendor can create a conflict of interest and compromise the integrity of decision-making. Referring HHC patients to a practice in which you have a financial interest is a violation of anti-kickback laws and can lead to biased referrals. Therefore, all of these actions are violations of the Compliance Program.

3. Who is responsible for compliance within CS-HHC:

CS-HHC Management

Corporate Compliance Officer

CEO

Everyone

Everyone is responsible for compliance within CS-HHC because compliance is a collective effort that involves all individuals within the organization. Compliance refers to adhering to laws, regulations, and internal policies to ensure ethical and legal conduct. It is not solely the responsibility of management, the corporate compliance officer, or the CEO, but rather a shared responsibility among all employees. Each individual plays a role in upholding compliance standards and promoting a culture of integrity and ethical behavior within the organization.

Explanation

Everyone is responsible for compliance within CS-HHC because compliance is a collective effort that involves all individuals within the organization. Compliance refers to adhering to laws, regulations, and internal policies to ensure ethical and legal conduct. It is not solely the responsibility of management, the corporate compliance officer, or the CEO, but rather a shared responsibility among all employees. Each individual plays a role in upholding compliance standards and promoting a culture of integrity and ethical behavior within the organization.

4. What are the potential consequences for submitting a false claim to the government:

Three times the amount of the false claim

Per claim penalty of up to $11,000

Exclusion from Federal Health Care Programs

None of the above

All of the above

Submitting a false claim to the government can result in three potential consequences. Firstly, the individual may be required to pay three times the amount of the false claim as a penalty. Secondly, there is a per claim penalty of up to $11,000 that may be imposed. Lastly, the individual may face exclusion from Federal Health Care Programs. Therefore, all of the above consequences can occur for submitting a false claim to the government.

Explanation

Submitting a false claim to the government can result in three potential consequences. Firstly, the individual may be required to pay three times the amount of the false claim as a penalty. Secondly, there is a per claim penalty of up to $11,000 that may be imposed. Lastly, the individual may face exclusion from Federal Health Care Programs. Therefore, all of the above consequences can occur for submitting a false claim to the government.

5. It is only considered "Fraud" if I know what I am doing is illegal.

True

False

This statement is false because fraud does not depend on the person's knowledge of whether their actions are illegal or not. Fraud is defined as intentionally deceiving someone in order to gain an unfair advantage or financial benefit. The person committing fraud may or may not be aware that their actions are illegal, but their intent to deceive is what makes it fraudulent.

Explanation

This statement is false because fraud does not depend on the person's knowledge of whether their actions are illegal or not. Fraud is defined as intentionally deceiving someone in order to gain an unfair advantage or financial benefit. The person committing fraud may or may not be aware that their actions are illegal, but their intent to deceive is what makes it fraudulent.

6. A Code of Conduct is the same thing as written Policies and Procedures

True

False

A Code of Conduct is not the same thing as written Policies and Procedures. While both serve as guidelines for behavior and decision-making within an organization, a Code of Conduct typically focuses on ethical principles and values, whereas Policies and Procedures provide specific instructions and guidelines for various aspects of operations. Therefore, they serve different purposes and should be seen as distinct documents.

Explanation

A Code of Conduct is not the same thing as written Policies and Procedures. While both serve as guidelines for behavior and decision-making within an organization, a Code of Conduct typically focuses on ethical principles and values, whereas Policies and Procedures provide specific instructions and guidelines for various aspects of operations. Therefore, they serve different purposes and should be seen as distinct documents.

7. If I report wrongdoing to the Compliance Department

I can remain anonymous

I will not be retaliated against

I will not be disciplined even if I know my report is false

All of the above

A and B

None of the above

The correct answer is "A and B". This means that if someone reports wrongdoing to the Compliance Department, they can remain anonymous and will not be retaliated against. This suggests that the person can feel safe and protected when reporting any wrongdoing, as their identity will not be revealed and they will not face any negative consequences for speaking up.

Explanation

The correct answer is "A and B". This means that if someone reports wrongdoing to the Compliance Department, they can remain anonymous and will not be retaliated against. This suggests that the person can feel safe and protected when reporting any wrongdoing, as their identity will not be revealed and they will not face any negative consequences for speaking up.

8. A good compliance program helps CS-HHC increase its:

Cost of healthcare

Quality of patient care

Ability to correct misconduct early

Both b and c

All of the above

A good compliance program helps CS-HHC increase the quality of patient care by ensuring that all healthcare providers adhere to the necessary regulations and guidelines. It also helps in correcting misconduct early by implementing effective monitoring and reporting systems. Therefore, both options b and c are correct.

Explanation

A good compliance program helps CS-HHC increase the quality of patient care by ensuring that all healthcare providers adhere to the necessary regulations and guidelines. It also helps in correcting misconduct early by implementing effective monitoring and reporting systems. Therefore, both options b and c are correct.

9. According to CS-HHC's Waste Fraud and Abuse Policy, if I become aware of a situation which I suspect is fraudulent, I must:

Report it to my supervisor

Report it to the Corporate Compliance Officer

Report it to the proper authorities

Ignore it

According to CS-HHC's Waste Fraud and Abuse Policy, if an individual becomes aware of a situation that they suspect is fraudulent, they are required to report it to their supervisor. This ensures that the appropriate action can be taken within the organization to address the suspected fraud. Reporting it to the supervisor allows for internal investigation and resolution, as well as potential reporting to higher authorities if necessary. Ignoring the situation would not be in compliance with the policy and could potentially allow the fraudulent activity to continue unchecked.

Explanation

According to CS-HHC's Waste Fraud and Abuse Policy, if an individual becomes aware of a situation that they suspect is fraudulent, they are required to report it to their supervisor. This ensures that the appropriate action can be taken within the organization to address the suspected fraud. Reporting it to the supervisor allows for internal investigation and resolution, as well as potential reporting to higher authorities if necessary. Ignoring the situation would not be in compliance with the policy and could potentially allow the fraudulent activity to continue unchecked.

10. When a director or employee uses his or her position or the information obtained from his or her position to gain a personal benefit leaving HHC at a disadvantage is a violation of what policy?

When a director or employee uses their position or the information they have access to for personal gain, it creates a conflict of interest. This means that their personal interests are in direct conflict with the interests of the company, leaving the company at a disadvantage. This behavior can also be considered as waste, fraud, and abuse since it involves misusing company resources and exploiting the company's position for personal benefit. Additionally, accepting gifts in such situations can further compromise the integrity and objectivity of the director or employee, making it a violation of company policies.

Explanation

When a director or employee uses their position or the information they have access to for personal gain, it creates a conflict of interest. This means that their personal interests are in direct conflict with the interests of the company, leaving the company at a disadvantage. This behavior can also be considered as waste, fraud, and abuse since it involves misusing company resources and exploiting the company's position for personal benefit. Additionally, accepting gifts in such situations can further compromise the integrity and objectivity of the director or employee, making it a violation of company policies.

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