Compliance Program Test

What is the telephone number and extension for the company's Compliance Hotline?

I can pretend that I didn't see it and go about my business.

I can pretend that I didn't see it and go about my business if no one else knows that I saw it.

I don't have to report it because it is not my problem.

I need to report it to the Compliance Hotline and/or the Compliance Officer.

Compliance with the law and with Aspire Health Partner's policies is a term and condition of my employment.

is sometimes necessary in order to meet the objectives of the Treatment Plan.

is always necessary when dealing with uncooperative clients.

may be required in order to let the clients know who is "in charge" of things.

lessen the importance of complying with our established corporate policies and procedures.

emanate from our Vision, Mission, and Philosophy and reflect our basic values.

If you don't feel that you have all the facts to make a call to the Compliance Hotline, you should do the following?

Wait until you can gather all the remainder of the information, then call as soon as possible

Contact the Compliance Officer as soon as possible.

Consider the situation from the perspective of the party in question.

Your co-worker, a new hire of two months, just confided to you that he/she had a “run in” at his/her former place of employment, a hospital in Georgia and was “unjustly terminated” for allegedly making a false statement. Your co-worker admitted that the OIG informed him/her that he/she would be added to the OIG Exclusion List. You just recently learned that the OIG Exclusion List is not maintained in real time and often has a lag time associated with it, therefore, it may take a while until an individual is officially listed. Because our company can never employee anyone on the OIG Exclusion List you should:

Do your best to keep it a secret because your co-worker is now a friend

Report this immediately in confidence to Compliance.

Urge your co-worker to find alternative employment in non-healthcare/government fields.

The company reserves the right to terminate the employment of any individual who makes an unfounded, intentionally false accusation via the Compliance Hotline.

Maintain our professional and ethical standards and reduce the possibility of fines.

Which of the following is the most common offense committed by health care organizations, in general.

A long-time vendor who receives considerable business from our company offers a premium, free, nothing-to-do-with-work-at-all mini-vacation to the Clearwater area for you and your supervisor because the vendor heard that the two of you are thinking about switching to a less-expensive vendor, and the vendor wants to keep our business. It is

Appropriate to accept because you and your supervisor deserve it.

Appropriate to accept because the vendor charges too much anyway and the vacations won't cause any harm, and no one needs to know about it.

Appropriate to accept if your supervisor tells you not to worry about it because after all your supervisor said it is ok to accept it.

Before calling the Compliance Hotline, I am required to make certain that I have all the facts.

Submitting a claim for payment or reimbursement to any third party that is false or fraudulent.

Is appropriate if the company's cash flow is low.

Is appropriate if your supervisor tells you to do it.

Is appropriate if there is no way you could ever be caught doing it.

A vendor offers you two free premium, courtside NBA Magic season tickets if you agree to refer twenty clients a year to his/her facility. This is:

acceptable because it is a common business practice.

acceptable because you don't like basketball games anyway, and won't use the tickets.

acceptable because it seems to be a fair value for your referrals.

As an employee, I am only responsible for Compliance information presented to me by my supervisor/manager/director or the Compliance Officer.

Every employee of the agency is responsible to maintain the Standards of Conduct.

a normal, routine activity in behavioral healthcare companies.

is an offense that may result in termination of employment.

considered to be a minor infraction of the rules.

not a big deal anymore due to all the internet hacking.

Before calling the Compliance Hotline, I am required to make certain that I have all the facts.

Submitting a claim for payment or reimbursement to any third party that is false or fraudulent

Is appropriate if someone in Finance tells you to do it.

Is appropriate if your supervisor tells you to do it.

Is appropriate if there is no way you could ever be caught doing it.

A marketing representative for a new for-profit competitor behavioral inpatient hospital offers you two free club area NBA Magic season tickets if you agree to refer four insurance clients a month to the hospital. This is

acceptable because it is a well-known, common Central Florida business practice.

acceptable because you want to give the tickets as a gift to our President/CEO.

acceptable because it seems to be fair market value for your referrals.

The Seven Fundamental Elements of an effective compliance program include (choose all that apply):

Encouraging creative writing and blogging.

Designating a compliance officer and compliance committee.

Conducting effective training and education.

Developing effective lines of demarcation.

Conducting internal monitoring and auditing.

Ensuring that all employees file their income tax returns annually with the IRS.

Responding promptly to detected offenses and undertaking corrective action.

A Corporate Integrity Agreement is characterized or attributed to be (choose all that apply):

A corporate obligation of a civil settlement.

An effective tool to increase employee retention.

Lasting for approximately five months.

So important that a breach of the Agreement can lead to exclusion from participating in federally funded healthcare programs such as Medicare, Medicaid, Tri-Care, and/or Block Grant funding (SAMH/CFCHS).

A desirable obligation for the company to obtain.

A high honor to be bestowed upon our company.

An effective enforcement tool to discourage fraud, waste, and abuse.

The role of Corporate Compliance is best articulated as (choose all that apply):

Not engaging in operations, per se, but rather monitor and investigate as appropriate.

A substitute for program leadership so medical/clinical operations don't have to monitor their own programs.

Focused on helping the company achieve responsible and effective corporate governance and ethics.

Prohibits a physician from making referrals for certain designated health services to an entity when the physician (or a member of his or her family) has an ownership/investment interest or a compensation arrangement.

Is Perhaps the most complex Compliance topic.

Is believed to have originated with Stark Industries and has ties to military weapons.

Deals with, but not exclusively with, physician compensation arrangements.

A potential generator of massive settlements.

Is the reason why our company does not usually make referrals to other providers or community partners.

Speaks to the restraint of trade or the monopolization of any part of interstate trade or commerce.

Speaks to the Sherman Tanks used in World War II regarding their relative reliability and usefulness.

Originated under General William T. Sherman's command during President Grant's administration.

Has pervasive applicability, including to our behavioral health care service industry.

Is designed to ensure competition and to preserve the free enterprise system.

Is intended to reduce unfair practices which might restrict competition.

May be the most frequent compliance issue we encounter at the company.

The Sherman Ant-Trust Act deals with these examples of actions that violate the antitrust law include entering in or negotiating an agreement with one or more competitors to attempt any (choose all that apply):

Telling your co-worker that you don't like to shop at Walmart.

Boycotting of a supplier or customer.

Giving a negative review of a business online.

Allocation of customers or markets.

Medicare is the same thing as Medicaid.

Medicare A can be used outside of a hospital environment, in general.

Medicare B is usually utilized for outpatient services.

Medicare D is a prescription plan.

Medicare C and Medicare Advantage are usually synonymous.