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1. According to the OIG, a Corporate Compliance Program should contain which of

by | Apr 28, 2022 | Healthcare

 

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1. According to the OIG, a Corporate Compliance Program should contain which of the following elements? Select all that Apply
a) Written compliance policies, procedures, and standards of conduct
b) Description of community demographics
c) Effective training and education on compliance policies, procedures, and standards of conduct
d) External monitoring and auditing by performing periodic audits
e) Prompt response to identified offenses and development of a corrective action plans
3.16666 points
QUESTION 2
1. Corporate compliance pertains to issues of
a.Ethics, credentials, law, procedures, executive orders
b.Policies, regulations, licenses, rules, law, credentials
c.Safety, quality, mergers, and patient volumes
d.Ethics, law, rules, regulations, policies, procedures
3.16666 points
QUESTION 3
1. Economic and social conditions that influence individual and group differences in health status are known as?
a) Social consumerism
b) Social determinants of health
c) Economic drivers
d) Population disparities
Question Completion Status:
QUESTION 1
1. According to the OIG, a Corporate Compliance Program should contain which of the following elements? Select all that Apply
a) Written compliance policies, procedures, and standards of conduct
b) Description of community demographics
c) Effective training and education on compliance policies, procedures, and standards of conduct
d) External monitoring and auditing by performing periodic audits
e) Prompt response to identified offenses and development of a corrective action plans
3.16666 points
QUESTION 2
1. Corporate compliance pertains to issues of
a.Ethics, credentials, law, procedures, executive orders
b.Policies, regulations, licenses, rules, law, credentials
c.Safety, quality, mergers, and patient volumes
d.Ethics, law, rules, regulations, policies, procedures
3.16666 points
QUESTION 3
1. Economic and social conditions that influence individual and group differences in health status are known as?
a) Social consumerism
b) Social determinants of health
c) Economic drivers
d) Population disparities
3.16666 points
QUESTION 4
1. Examples of healthcare fraud and abuse include: Select all that Apply
a) Filing claims for services or medications performed
b) Billing for a higher priced service than the one that was done
c) Waiving patient co-pays or deductibles
d) Using someone else’s insurance coverage or benefit card
3.16666 points
QUESTION 5
1. Growth objectives should follow the SMART practice, which is an acronym for?
a) Specific, Measurable, Accurate, Realistic, Trustworthy
b) Special, Manageable, Achievable, Rational, Timely
c) Specific, Manageable, Accurate, Realistic, Time-bound
d) Specific, Measurable, Achievable, Realistic, Time-bound
3.16666 points
QUESTION 6
1. Healthcare fragmentation results in
a) Better specialization of health services
b) Decreased cost of care
c) Increased cost of care
d) Does not have an impact on either patient or the cost
3.16666 points
QUESTION 7
1. Leadership training can: Select all that Apply
a) Reduce medical errors
b) Produce an organizational culture dedicated to improvement
c) Decrease healthcare costs
d) Improve quality
QUESTION 8
1. Malpractice in healthcare is related to provider-patient communications, organizational-patient communication, procedures, and/or services.
True
False
3.16666 points
QUESTION 9
1. The American College of Physician Executives (ACPE) believes that to succeed, healthcare must be: Select all that Apply
a) Quality-centered and safe
b) Streamlined, measured, and evidence-based
c) Free and patient-centered
d) Value-driven, innovative, fair and equitable
e) Physician led
3.16666 points
QUESTION 10
1. The Balanced Scorecard (BSC) is a strategy management framework that helps balance what four perspectives in an organization?
a) Finances, customers, external processes, learning and growth
b) Reimbursements, specialization, internal processes, learning and growth
c) Finances, customers, internal processes, learning and growth
d) Finances, customers, internal processes, physician attrition
3.16666 points
QUESTION 11
1. The False Claims Act is also known as ____________, and it imposes liability on persons and companies who defraud governmental programs.
a) Obama Care
b) The Washington Edict
c) The Lincoln Law
d) The Accountable Care Law
3.16666 points
QUESTION 12
1. The Federal Sentencing Guidelines for Organizations (FSGO) specifies program elements designed to eliminate financial penalties and other court-ordered sanctions for organizations convicted or that have pled no contest to a serious crime in the United States.
True
False
3.16666 points
QUESTION 13
1. The Physician Payment Sunshine Act, also known as the Sunshine Principle, requires drug and medical manufacturers who take part in State programs, to report yearly on payments and other contributions of value made to physicians and teaching hospitals.
True
False
3.16666 points
QUESTION 14
1. The Triple Aim endeavors to
a) Improve quality of care
b) Decrease costs
c) Increase physician satisfaction
d) Improve the patient experience
e) a, b, d
f) All the above
3.16666 points
QUESTION 15
1. The mission of the U.S. Department of Health & Human Services is to improve and protect the health and well-being of all Americans: How is that mission fulfilled?
a) Providing effective health and human services, conducting research, monitoring communicable diseases
b) Providing health insurance and promoting health literacy and social services
c) Providing reduced cost health and human services and advancing preventive care
d) Providing effective health and human services and advancing medicine, public health, and social services.
3.16666 points
QUESTION 16
1. What U.S. agency is responsible for cyber threats?
a) Federal Technology Administration
b) Department of Homeland Security
c) Trade and Labor Union
d) Internet Security Council
QUESTION 17
1. What are best practices?
a) Processes that result in higher patient volumes
b) Generally accepted cutting-edge techniques that increase producitvity
c) Generally accepted, standardized techniques, methods or processes that have proven themselves over time
d) Innovative non-standardized techniques, methods or processes that have proven themselves over time
3.16666 points
QUESTION 18
1. What are contributors to the rapid transformation in healthcare? Select all that Apply
a) Regulatory changes
b) Consumer demands
c) Rising healthcare costs
d) Political disagreements
3.16666 points
QUESTION 19
1. What are professional ethical responsibilities for providers? Select all that Apply
a) Demonstrating compassion
b) Protecting confidentiality
c) Promoting Just healthcare
d) Always prescribing the least costly medicine
3.16666 points
QUESTION 20
1. What are two of the United States’ antitrust enforcement agencies?
a) Federal Exchange & Securities and State Attorneys General
b) Federal Trade Commission and Department of Justice
c) Department of Justice and Institute for Healthcare Improvement
d) Federal Trade Commission, and Centers for Medicare and Medicaid
3.16666 points
QUESTION 21
1. What has contributed to clinical decision support systems market growth?
a) Increased medication errors
b) Increased use of big data and ehealth tools
c) Adoption of cloud-based computing
d) All the above
QUESTION 22
1. What is Informed Consent?
a) Allows a person to partake in his or her own medical care and enables the decision of which treatments the patient does or does not want to receive
b) Informs a patient of the treating provider’s credentials
c) Permits an individual to choose treatment payment options
d) Allows a person to partake in his or her own medical care and enables the decision of which treatments the physician does or does not want to use.
3.16666 points
QUESTION 23
1. What is organizational behavior? Select all that Apply
a) Applied behavioral science
b) Study of individual and group dynamics within an organization
c) Evidence of effective teamwork
d) Explains interactions between people and complex factors
3.16666 points
QUESTION 24
1. What is shared decision-making?
a) When the patient and their family agree on plan of treatment
b) The nurses, patient, and health manager work together
c) Healthcare decision is posed, discussed, considered, and negotiated between the provider and patient, and improves patient-centered care
d) Patient decides on their plan of treatment after reviewing cost options
3.16666 points
QUESTION 25
1. What is the fiduciary duty of care principle?
a) Requires that employees act in good faith with the care an ordinarily prudent person would exercise under similar circumstances.
b) When a medical professional is in breach of the legal duty of care it owes to an individual.
c) Requires a Board to act in good faith with the care an ordinarily prudent person would exercise under similar circumstances.
d) The obligation to care for vulnerable populations before healthy populations.
3.16666 points
QUESTION 26
1. What two elements are evidence-based management decisions based upon?
a) Cost and benefit
b) Opinion and advice
c) Critical thinking and best available evidence
d) Recommendations and success
QUESTION 27
1. Which U.S. agency prosecutes organizations accused of criminal activity and unethical business practices?
a) U.S. Department of Justice
b) Federal Bureau of Investigation
c) U.S. Trade & Commerce Agency
d) U.S. Better Business Bureau
3.16666 points
QUESTION 28
1. Which of the following are duties of the Board of Directors in a healthcare organization? Select all that Apply
a) Managing day-to-day operations
b) Establishing strategic direction
c) Compliance
d) Reviewing staffing schedules
e) Shareholder interest
3.16666 points
QUESTION 29
1. Which of the following are essential duties of the nurse leader? Select all that Apply
a) Ordering and reviewing diagnostic tests
b) Reducing the turnover rate of registered nurses
c) Approving facility renovations
d) Reduce healthcare costs by improving efficiency
3.16666 points
QUESTION 30
1. Which of the following are major drivers transforming the health industry? Select all that Apply
a) Population health management
b) Value-based care
c) Consumerization of healthcare
d) Telehealth
e) Cannabis crisis
QUESTION 31
Please answer the following in a short essay response:
• Explain the relationship between the Board of Directors and Management in healthcare organizations.
• Describe two responsibilities of healthcare Boards of Directors and how those responsibilities impact organizational performance.
• What factors might contribute to conflict within an organization and the governing Board and how might these conflicts be resolved?

 

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