Corporate Compliance a Proactive Stance
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