Corporate Compliance a Proactive Stance

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What is the penalty for violating the Federal False Claims Act?

A fine equal to three times the billed amount

What is one result of an effective corporate compliance program in a healthcare facility?

A more efficient use of taxpayer money

The whistleblower provision of the Federal False Claims Act:

All of the above

A hospital offers a gift to physicians in exchange for their referrals of Medicare patients. This would be a violation of the

Anti-Kickback Statute

Which of the following is a key law for regulating the healthcare industry?

Anti-Kickback Statute

Which of the following is a key law for regulating the healthcare industry?

EMTALA

What is the focus of the Stark Act?

Ethics in patient referrals

What is a possible penalty for violating the AKBS?

Exclusion from Medicare and Medicaid

Which of the following is a key law for regulating the healthcare industry?

Federal False Claims Act

An intentional representation that could result in an unauthorized benefit is considered:

Fraud

Which of the following is a key law for regulating the healthcare industry?

HIPAA Privacy Rule

An effective corporate compliance program in a healthcare facility _____________________.

Helps keep healthcare costs low

What is the focus of the Red Flags Rule?

Identity theft

Which of the following is one component of an effective compliance program?

Internal auditing and monitoring

Which of the following is one component of an effective compliance program?

Policies and procedures

What is the purpose of a corporate compliance program?

To help prevent fraud and misconduct

Why do healthcare facilities have corporate compliance programs?

To help prevent fraud, abuse, and waste

Why are open lines of communication important to an effective compliance program?

To identify and correct problems early on

What is the purpose of compliance policies and procedures?

To provide employees with guidance about how to do their jobs legally and ethically


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