New Hire Orientation: Compliance Training Test! Trivia Quiz

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Quizzes Created: 1 | Total Attempts: 249
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  • 1/19 Questions

    What is the appropriate definition for Anti-Kickback Statute?

    • Prohibits soliciting referrals of Medicare or Medicaid patients, paying or receiving payment for referrals of Medicare patients, offering discounts to induce purchase of items/services covered by Medicare or Medicaid.
    • National standards that affect the health care industry and the exchange of health care information that applies to health plans, health care clearing houses, and health care providers who perform electronic transactions.
    • Prohibits knowingly filing a false claim for payment or conspiring to defraud the government by getting a fraudulent claim allowed or paid; This is the government’s primary enforcement tool for Fraud
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About This Quiz

Below is a new hire orientation compliance training test! Every new employee is expected to know the laws of the organizations and what regulations or policies help it to run smoothly. As a new employee, the quiz below will help you through what you got to learn during orientation. Do give it a shot and get to see how well you will do. Check it out!

New Hire Orientation: Compliance Training Test! Trivia Quiz - Quiz


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  • 2. 

    What is the appropriate definition for HIPAA?

    • Prohibits knowingly filing a false claim for payment or conspiring to defraud the government by getting a fraudulent claim allowed or paid; This is the government’s primary enforcement tool for Fraud

    • Prohibits soliciting referrals of Medicare or Medicaid patients, paying or receiving payment for referrals of Medicare patients, offering discounts to induce purchase of items/services covered by Medicare or Medicaid.

    • National standards that affect the health care industry and the exchange of health care information that applies to health plans, health care clearing houses, and health care providers who perform electronic transactions.

    Correct Answer
    A. National standards that affect the health care industry and the exchange of health care information that applies to health plans, health care clearing houses, and health care providers who perform electronic transactions.
    Explanation
    HIPAA stands for the Health Insurance Portability and Accountability Act. It is a set of national standards that regulate the health care industry and the exchange of health care information. HIPAA applies to health plans, health care clearinghouses, and health care providers who perform electronic transactions. It ensures the privacy and security of patient health information and establishes guidelines for the electronic transmission of health data.

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  • 3. 

    Please match the following compliance “Risk area” with  its descriptions. ANTI-KICKBACK STATUTE

    • Business arrangements between those in a position to refer business and those providing services.

    • Used to indicate procedure performed has been altered by specific circumstances.

    • Separate billing codes used on procedures that have an aggregate billing code.

    • Using a billing code that provides a higher reimbursement rate than the services actually performed.

    Correct Answer
    A. Business arrangements between those in a position to refer business and those providing services.
    Explanation
    The correct answer is "Business arrangements between those in a position to refer business and those providing services." This is because the Anti-Kickback Statute refers to laws that prohibit offering, paying, soliciting, or receiving anything of value in exchange for referrals or business in healthcare settings. It is designed to prevent improper financial relationships that could influence medical decision-making and lead to fraud or abuse.

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  • 4. 

    Which of the following is NOT one of the “Seven Components of a Compliance Program”?

    • Written standards of conduct, and written policies and procedures.

    • Easy access to information transmitted electronically without concerns for security or privacy of patient information.

    • Education and training programs for all employees yearly.

    • Monitoring and auditing for risk areas.

    • All of the above are components of a compliance program.

    Correct Answer
    A. Easy access to information transmitted electronically without concerns for security or privacy of patient information.
    Explanation
    The correct answer is "Easy access to information transmitted electronically without concerns for security or privacy of patient information." This option is not one of the "Seven Components of a Compliance Program." The seven components include written standards of conduct, written policies and procedures, education and training programs for all employees yearly, monitoring and auditing for risk areas, enforcing standards through well-publicized disciplinary guidelines, responding promptly to detected offenses, and developing corrective action.

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  • 5. 

    Please match the following compliance “Risk area” with  its descriptions.UPCODING

    • Business arrangements between those in a position to refer business and those providing services.

    • Used to indicate procedure performed has been altered by specific circumstances.

    • Separate billing codes used on procedures that have an aggregate billing code.

    • Using a billing code that provides a higher reimbursement rate than the services actually performed.

    Correct Answer
    A. Using a billing code that provides a higher reimbursement rate than the services actually performed.
    Explanation
    The correct answer is "Using a billing code that provides a higher reimbursement rate than the services actually performed." This refers to the practice of intentionally using a billing code that results in a higher payment from insurance or other reimbursement sources, even if the services provided do not warrant that level of payment. This can be considered fraudulent and is a compliance risk area.

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  • 6. 

    Please list which 2 of the following describe a compliance program.

    • A process to identify, correct and prevent improper conduct or errors in the course of normal business.

    • A process to promote good business profit analysis

    • Promotes Ethical Behavior for all operations

    • Prevents billing errors

    Correct Answer(s)
    A. A process to identify, correct and prevent improper conduct or errors in the course of normal business.
    A. Promotes Ethical Behavior for all operations
    Explanation
    The correct answer is "A process to identify, correct and prevent improper conduct or errors in the course of normal business" and "Promotes Ethical Behavior for all operations" because both options describe the key elements of a compliance program. A compliance program is designed to identify and address any improper conduct or errors that may occur in the course of normal business operations. It also aims to promote ethical behavior throughout the organization to ensure compliance with laws, regulations, and ethical standards.

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  • 7. 

    Who is responsible for keeping MBS compliant with government legislation?

    • Your supervisor

    • Your group director

    • The Chief Compliance Officer

    • Everyone at MBS, including you

    Correct Answer
    A. Everyone at MBS, including you
    Explanation
    Compliance with government legislation is a collective responsibility that falls on everyone at MBS, including the individual answering the question. This means that every employee, including the person taking the quiz, has a role in ensuring that MBS adheres to government regulations. It emphasizes the importance of a shared commitment to compliance throughout the organization.

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  • 8. 

    The following is an appropriate use of your passwords: Your friend needs to get on the system and forgot his password, so you give him yours, just so he can log in.  True or False?

    • True

    • False

    Correct Answer
    A. False
    Explanation
    Password should never be shared.

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  • 9. 

    What is the appropriate definition for False Claims Act?

    • Prohibits soliciting referrals of Medicare or Medicaid patients, paying or receiving payment for referrals of Medicare patients, offering discounts to induce purchase of items/services covered by Medicare or Medicaid.

    • Prohibits knowingly filing a false claim for payment or conspiring to defraud the government by getting a fraudulent claim allowed or paid; This is the government’s primary enforcement tool for Fraud.

    • National standards that affect the health care industry and the exchange of health care information that applies to health plans, health care clearing houses, and health care providers who perform electronic transactions.

    Correct Answer
    A. Prohibits knowingly filing a false claim for payment or conspiring to defraud the government by getting a fraudulent claim allowed or paid; This is the government’s primary enforcement tool for Fraud.
    Explanation
    The False Claims Act is a law that prohibits knowingly filing a false claim for payment or conspiring to defraud the government by getting a fraudulent claim allowed or paid. This law is considered the government's primary enforcement tool for fraud. It is designed to hold individuals and organizations accountable for submitting false claims and seeking reimbursement from the government for services or products that were not provided or were misrepresented. The False Claims Act aims to protect taxpayer dollars and ensure the integrity of government programs and services.

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  • 10. 

    Please match the following compliance “Risk area” with  its descriptions.UNBLUNDING

    • Business arrangements between those in a position to refer business and those providing services.

    • Used to indicate procedure performed has been altered by specific circumstances.

    • Separate billing codes used on procedures that have an aggregate billing code.

    • Using a billing code that provides a higher reimbursement rate than the services actually performed.

    Correct Answer
    A. Separate billing codes used on procedures that have an aggregate billing code.
    Explanation
    The term "unbundling" refers to the practice of using separate billing codes for procedures that should be billed together under one aggregate billing code. This practice is considered non-compliant as it can lead to higher reimbursement rates than the services actually performed.

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  • 11. 

    Please match the following compliance “Risk area” with  its descriptions.MODIFIER USE

    • Business arrangements between those in a position to refer business and those providing services.

    • Used to indicate procedure performed has been altered by specific circumstances.

    • Separate billing codes used on procedures that have an aggregate billing code.

    • Using a billing code that provides a higher reimbursement rate than the services actually performed

    Correct Answer
    A. Used to indicate procedure performed has been altered by specific circumstances.
    Explanation
    The correct answer is "Used to indicate procedure performed has been altered by specific circumstances." This means that the compliance "Risk area" being referred to is when a procedure has been modified or changed due to specific circumstances. It could be that the procedure was altered to accommodate a patient's unique needs or to address unexpected complications during the procedure. This is important to track and document accurately for billing and compliance purposes.

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  • 12. 

    The correct course of action when faced with a compliance concern is which of the 2 following  :

    • Email a friend outside of MBS about the issue to get an outside opinion.

    • Don’t tell anyone – most likely it’s not an issue anyway and you don’t want to get in trouble.

    • Talk through your concerns with your immediate supervisor or group director.

    • Fill out a Compliance Incident Report Form.

    Correct Answer(s)
    A. Talk through your concerns with your immediate supervisor or group director.
    A. Fill out a Compliance Incident Report Form.
    Explanation
    When faced with a compliance concern, it is important to address it appropriately. Talking through your concerns with your immediate supervisor or group director is crucial as they are responsible for handling such issues within the organization. It allows for open communication and provides an opportunity to resolve the concern internally. Additionally, filling out a Compliance Incident Report Form is necessary to document the concern and ensure it is properly investigated and addressed by the appropriate authorities.

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  • 13. 

    Which of the following is not an acceptable use of MBS computers?

    • Making fraudulent offers of products, items or services

    • Downloading files from the Internet using the anti-virus software from the IT Department.

    • Keeping Protected Health Information on your computer screen hidden from view from unauthorized persons.

    • Supporting the business of MBS and helping users to do their work.

    Correct Answer
    A. Making fraudulent offers of products, items or services
    Explanation
    Making fraudulent offers of products, items or services is not an acceptable use of MBS computers because it is illegal and unethical. It goes against the principles of honesty and integrity, and it can lead to legal consequences for the individual and damage to the reputation of MBS. Acceptable uses of MBS computers include supporting the business, helping users with their work, and ensuring the security and privacy of sensitive information. Downloading files from the Internet using the provided anti-virus software and keeping Protected Health Information hidden from unauthorized persons are also acceptable uses as they contribute to the efficient functioning and security of the organization.

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  • 14. 

    Which 2 of the following are examples of Fraud?

    • Selling or sharing patients’ Medicare numbers

    • Billing errors due to misunderstanding the rules.

    • Unintentionally misrepresenting the facts.

    • Knowingly and deliberately billing for services not rendered.

    Correct Answer(s)
    A. Selling or sharing patients’ Medicare numbers
    A. Knowingly and deliberately billing for services not rendered.
    Explanation
    Selling or sharing patients' Medicare numbers is an example of fraud because it involves the intentional and unauthorized disclosure of confidential information for personal gain. Knowingly and deliberately billing for services not rendered is also an example of fraud as it involves submitting false claims for services that were not actually provided, with the intent to deceive and receive payment fraudulently.

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  • 15. 

    Who is responsible for the software on MBS computers and laptops?

    • You

    • The Chief Compliance Officer

    • Each branch or department

    • The IT departmnt

    • Your Supervisor

    Correct Answer
    A. The IT departmnt
    Explanation
    The IT department is responsible for the software on MBS computers and laptops. They are in charge of installing, updating, and maintaining the software to ensure that it runs smoothly and meets the needs of the organization. This department is knowledgeable about various software applications and can provide technical support when needed. They play a crucial role in managing the technology infrastructure of the company and ensuring that all software is up to date and secure.

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  • 16. 

    The U.S. Department of Health and Human Services (DHHS), Office of the Inspector General (OIG) is responsible for which of the following?

    • Oversees federal health care programs and investigates fraud and abuse.

    • Has authority over all health care programs including public or private and investigates cases of fraud and conducts civil, administrative and criminal investigations

    • Has authority over Medicare and Medicaid programs, coordinates investigations with other federal and state law enforcement agencies and issues compliance program guidance for various sectors of the healthcare industry.

    • Responsible for overseeing and enforcing compliance with HIPAA privacy standards.

    Correct Answer
    A. Has authority over Medicare and Medicaid programs, coordinates investigations with other federal and state law enforcement agencies and issues compliance program guidance for various sectors of the healthcare industry.
    Explanation
    The U.S. Department of Health and Human Services (DHHS), Office of the Inspector General (OIG) has authority over Medicare and Medicaid programs, coordinates investigations with other federal and state law enforcement agencies, and issues compliance program guidance for various sectors of the healthcare industry. This means that the OIG is responsible for ensuring the integrity and proper functioning of these healthcare programs, investigating any potential fraud or abuse, and providing guidance to promote compliance with regulations in the healthcare industry.

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  • 17. 

    MBS management’s policy regarding non-retaliation does which of the following? (Multiple answers)

    • Encourages compliance issues be reported without concern for retaliation.

    • Will act with discretion and integrity on the reported issue.

    • Will strive to maintain the confidentiality of the employee’s identity.

    Correct Answer(s)
    A. Encourages compliance issues be reported without concern for retaliation.
    A. Will act with discretion and integrity on the reported issue.
    A. Will strive to maintain the confidentiality of the employee’s identity.
    Explanation
    The MBS management's policy regarding non-retaliation encourages employees to report compliance issues without fear of retaliation. Additionally, the management will handle the reported issues with discretion and integrity. Furthermore, they will make efforts to maintain the confidentiality of the employee's identity.

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  • 18. 

    Who is the Chief Compliance Officer?

    Correct Answer(s)
    Peggy McCloskey
    Peggy
    Explanation
    The correct answer is Peggy McCloskey. Peggy McCloskey is the Chief Compliance Officer.

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  • 19. 

    According to HIPAA, protection of Privacy does which of the  2 following? 

    • Facilitates the use of electronic data and reduces health care administrative costs

    • Provides new protections for the collection, handling, storage and transmission of protected health information

    • Establishes one format for the electronic exchange of health care data

    • Defines Protected Health Information

    • Protects the storage and transmission of patients’ information, such as addresses and Social Security numbers

    Correct Answer(s)
    A. Provides new protections for the collection, handling, storage and transmission of protected health information
    A. Protects the storage and transmission of patients’ information, such as addresses and Social Security numbers
    Explanation
    HIPAA (Health Insurance Portability and Accountability Act) provides new protections for the collection, handling, storage, and transmission of protected health information. It also protects the storage and transmission of patients' information, such as addresses and Social Security numbers. By implementing these protections, HIPAA ensures the privacy and security of individuals' health information, reducing the risk of unauthorized access or disclosure. This helps to build trust between patients and healthcare providers, as well as facilitate the secure exchange of electronic health data, ultimately improving the overall quality of healthcare delivery.

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Quiz Review Timeline (Updated): Mar 21, 2023 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Mar 21, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Aug 10, 2010
    Quiz Created by
    Rosanna323
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