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Explanation The question asks for the person who is NOT a member of the compliance committee. The answer is Marcy Fleming because she is the only one mentioned in the options who is not a member of the committee.
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2.
A compliance plan is policies and procedures to standardize expectations of conduct and ethics.
A.
True
B.
False
Correct Answer
A. True
Explanation A compliance plan is indeed a set of policies and procedures that are put in place to establish and maintain a standard of conduct and ethics within an organization. These policies and procedures ensure that employees and stakeholders are aware of the expected behaviors and actions, and help to prevent any violations of laws or regulations. By implementing a compliance plan, organizations can promote transparency, integrity, and accountability, ultimately contributing to a culture of ethical behavior and legal compliance.
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3.
What topics are a part of the ABC compliance plan?
A.
Code of Conduct and Ethics, Conflict of Interest Policy, Training & Education, Response to Compliance Concerns.
B.
Code of Conduct and Ethics, Conflict of Interest Policy, Training & Education, Other Companies Compliance Plans.
C.
Code of Conduct and Ethics, Conflict of Interest Policy, Setting Standards and Evaluating new policies, Response to Compliance Concerns.
D.
Code of Conduct and Ethics, OIMM Protocol, Training & Education, Response to Compliance Concerns.
Correct Answer
A. Code of Conduct and Ethics, Conflict of Interest Policy, Training & Education, Response to Compliance Concerns.
Explanation The correct answer includes the topics that are a part of the ABC compliance plan. These topics are Code of Conduct and Ethics, Conflict of Interest Policy, Training & Education, and Response to Compliance Concerns.
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4.
An example of a violation of ABC policies (detailed in the Employee Practices Manual), could include:
A.
Non-Discrimination and Anti-Harassment
B.
Reporting Cases of Suspected Child Abuse
C.
Gifts and Gratuities
D.
All of the above
Correct Answer
D. All of the above
Explanation The correct answer is "All of the above." This means that all of the options listed (Reporting Cases of Suspected Child Abuse, Gifts and Gratuities, Non-Discrimination and Anti-Harassment) are examples of violations of ABC policies detailed in the Employee Practices Manual.
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5.
A "record" does not include any documentation or materials relating to a child's participation in:
A.
Early intervention
B.
Preschool special education
C.
Echo Park summer youth camp
D.
Mental health clinic program
Correct Answer
C. Echo Park summer youth camp
Explanation A "record" refers to documentation or materials related to a child's participation in various programs. However, the Echo Park summer youth camp is not included in these records.
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6.
It is OK to disclose a child's confidential information with a different parent as long as you are out of earshot of other employees and parents.
A.
True
B.
False
Correct Answer
B. False
Explanation Disclosing a child's confidential information to a different parent, even if done out of earshot of other employees and parents, is not acceptable. Confidentiality is a crucial aspect of working with children, and it is important to respect their privacy and protect their personal information. Sharing confidential information without proper authorization can breach trust, violate privacy laws, and potentially harm the child or their family. Therefore, it is incorrect to assume that it is okay to disclose such information in any circumstance.
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7.
Regulatory oversight, policy clarification and legal guidance are provided from:
A.
NYC DHMH, NYS OMH, IPRO.org, NYS OMIG
B.
NYS DOH, NYC DOE, NYS DOENYS, NYC OMIG
C.
NYC DHMH, NJ OMH, IPRO.org, NYS OMIG
D.
Wikipedia
Correct Answer
A. NYC DHMH, NYS OMH, IPRO.org, NYS OMIG
Explanation Regulatory oversight, policy clarification, and legal guidance are provided by NYC DHMH, NYS OMH, IPRO.org, and NYS OMIG. These organizations play a crucial role in ensuring compliance with regulations, providing clarity on policies, and offering legal guidance in the respective areas they cover. NYC DHMH and NYS OMH are likely to be the regulatory bodies responsible for overseeing healthcare and mental health services in New York City and New York State, respectively. IPRO.org may provide additional support and resources in the healthcare field, while NYS OMIG likely focuses on Medicaid and healthcare fraud prevention.
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8.
An employee is not acting in the best interest of ABC or ABC's families when their behavior...
A.
Reflects unfavorably upon ABC's reputation
B.
Divides loyalty between ABC and an outside interest
C.
Conflicts with the best interest of ABC
D.
All of the above
Correct Answer
D. All of the above
Explanation The correct answer is "All of the above". This means that an employee is not acting in the best interest of ABC or ABC's families when their behavior reflects unfavorably upon ABC's reputation, divides loyalty between ABC and an outside interest, or conflicts with the best interest of ABC. In other words, any behavior that damages the company's reputation, creates conflicts of interest, or goes against the company's best interests is considered as not acting in the best interest of ABC or its families.
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9.
What happens to a person if they report violations, but his/her claim is found to be false?
A.
The employee will meet with the compliance committee to decide if further action will be taken
B.
The employee will be reported to the state and will face further action
C.
The employee will immediately be fired
D.
None of the above
Correct Answer
D. None of the above
Explanation If a person reports violations and their claim is found to be false, none of the above consequences will occur. The question implies that there will be some sort of negative outcome for the employee, but the given options do not reflect this. It is possible that the employee may face some form of disciplinary action or reprimand, but the specific consequences are not provided in the options. Therefore, the correct answer is "None of the above."
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10.
Training in compliance will be mandatory and evaluated annually unless you pass the NYS OMIG compliance test and provide an official record of it.
A.
True
B.
False
Correct Answer
B. False
Explanation The statement is false because the passage states that training in compliance will be mandatory and evaluated annually unless you pass the NYS OMIG compliance test and provide an official record of it. This means that if you pass the test and provide the record, you will not be required to undergo annual training and evaluation.
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11.
What amounts can you be fined if you are found guilty of making a false claim?
A.
$500-$1,000
B.
$5,000-$10,000
C.
$15,000-$25,000
D.
$50,000-$100,000
Correct Answer
B. $5,000-$10,000
Explanation If you are found guilty of making a false claim, you can be fined an amount ranging from $5,000 to $10,000.
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12.
When is a person not liable for a false claim?
A.
Therapist submits a bill to Medicaid for a service s/he knows was not provided
B.
Teacher mistakenly marks a student absent, but then reports the error
C.
Staff person reports they worked hours they know they did not work
D.
All of the above
Correct Answer
B. Teacher mistakenly marks a student absent, but then reports the error
Explanation A person is not liable for a false claim when they mistakenly make an error but then promptly report and correct it. In the given scenario, the teacher mistakenly marks a student absent but realizes the error and reports it. This shows that the teacher takes responsibility for their mistake and rectifies it, therefore not making a false claim.
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13.
When reporting CPSE and a mistake is made when marking down service attendance, it is ok to cross out the mistake or use whiteout as long as a compliance committee member is aware of the change.
A.
True
B.
False
Correct Answer
B. False
Explanation Crossing out a mistake or using whiteout when reporting CPSE and marking down service attendance is not acceptable, even if a compliance committee member is aware of the change. It is important to maintain accurate and reliable records, and any mistakes should be corrected in a proper and transparent manner, such as through a documented correction process.
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14.
Which of the following is not included in the CPSE quarterly reports?
A.
Must refer to child's progress and IEP goals
B.
12-month programs: 4 reports per year and one is an annual report
C.
10-month programs: 2 reports per year and one is an annual report
D.
None of the above
Correct Answer
B. 12-month programs: 4 reports per year and one is an annual report
Explanation The CPSE quarterly reports include the child's progress and IEP goals, as well as reports for 10-month programs (2 per year, one of which is an annual report). However, the 12-month programs have 4 reports per year, and one of them is an annual report. Therefore, the 12-month programs: 4 reports per year and one is an annual report is not included in the CPSE quarterly reports.
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15.
Which of the following is not included in the EI evaluations?
A.
Name, age, and sex of the recipient
B.
Pertinent medical records
C.
IDC-19 Diagnosis Code
D.
None of the above
Correct Answer
C. IDC-19 Diagnosis Code
Explanation The EI evaluations include collecting information such as the name, age, and sex of the recipient, as well as pertinent medical records. However, the IDC-19 Diagnosis Code is not included in the EI evaluations.
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16.
Progress notes must be recorded by the staff person who provided the service.
A.
True
B.
False
Correct Answer
A. True
Explanation Progress notes must be recorded by the staff person who provided the service because they are responsible for documenting the details of the service provided. This ensures accuracy and accountability in the documentation process. Additionally, the staff person who provided the service is in the best position to provide an accurate account of the progress made by the individual receiving the service. Having the staff person record the progress notes also helps in maintaining continuity of care and allows for effective communication among the healthcare team.
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17.
What should be included in the Fast Break Session Notes?
A.
Identify the service provided (type of services) and any changes in goals. Identify the length of session. List the date and time of service. Identify the language in which the service was provided.
B.
Identify the service provided (type of services) and any changes in goals. Identify any sudden changes in patient's behavior. Identify the length of session. List the date and time of service.
C.
Identify the service provided (type of services) and any changes in goals. Identify the length of session. Identify the language in which the service was provided.
D.
None of the above
Correct Answer
A. Identify the service provided (type of services) and any changes in goals. Identify the length of session. List the date and time of service. Identify the language in which the service was provided.
Explanation The correct answer is to identify the service provided (type of services) and any changes in goals, to identify the length of the session, to list the date and time of service, and to identify the language in which the service was provided. This information is important for keeping track of the services provided during the Fast Break session, noting any changes in goals, and ensuring accurate documentation of the session's details.
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18.
Which of the following is an example of non-compliance?
A.
Changing recorded date of service.
B.
Billing for service on a date different from the date you delivered the service.
C.
Entering an amount of time that is different from the amount of time the service was delivered.
D.
All of the above
Correct Answer
D. All of the above
Explanation All of the options listed are examples of non-compliance. Changing the recorded date of service, billing for service on a different date, and entering a different amount of time for the service all involve inaccuracies and discrepancies in documentation and billing practices. These actions can lead to fraudulent activities, such as overbilling or misrepresenting the services provided, which are considered non-compliant with ethical and legal standards.
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