How to Answer Question Penalties Compliance Questions (Complete Guide)
Understanding this question requires applying core subject principles.
What This Question Is About
This question relates to question penalties compliance and requires a structured academic response.
How to Approach This Question
Break the problem into smaller parts and analyze each logically.
Key Explanation
This topic involves question penalties compliance. A strong answer should include explanation, application, and examples.
Original Question
Question 1 Penalties for non-compliance should: Group of answer choices be different for each employee never be implemented be progressive, so the punishment can fit the crime be the same for all violations Question 2 A covered entity is permitted to use and disclose protected health information, without an individual’s authorization, for all of the following purposes/situations except: Group of answer choices Treatment Divorce Proceedings Health Care Operations Payment Question 3 Facilities should provide their staff with the: Group of answer choices chance to vote for the policies they like legislative report that created each law opportunity to write their own policies written process for approving policies Question 4 Anyone reporting an occasion of non-compliance should be assured that they will: Group of answer choices not be harassed be rewarded be ostracized not be promoted Question 5 The options for presenting information to others include all of the following learning methods except: Group of answer choices let me do it tell me show me do it for me Question 6 Most staff members need to know this first: Group of answer choices Who else will be there? What’s in it for me? How much will you pay me to attend? Where will the session be? Question 7 “From March 12 through March 15, the auditors reviewed all claims filed by the north side office between February 5 and February 19.” This statement indicates a: Group of answer choices comprehensive audit concurrent audit external audit sampling audit Question 8 “Doctors Clinic has an average of 48 percent of their submitted claims denied.” This is a/an ______ indicator of problems in the facility. Group of answer choices manifested overt covert occult Question 9 “The audit reviewed 50 patient records and claim forms of the 1000 filed during the month of September.” This statement indicates a: Group of answer choices comprehensive audit concurrent audit external audit sampling audit Question 10 A finding of negligence indicates the auditor believes the errors were: Group of answer choices willful ignorance reckless disregard of the law human error criminal Question 11 A subpoena duces tecum means that documentation: Group of answer choices is to be read aloud in court must be delivered to the court must be destroyed immediately is not to be disclosed Question 12 The requirement to reimburse the agency for any monies paid in error is an example of: Group of answer choices criminal actions denial of payments return of overpayments civil monetary penalties Question 13 _________ is a good example of a good source for compliance update information. Group of answer choices Nutritional Guidelines USA The American Academy of Family Physicians Sun City Nursing Homes The Good Health Source Question 14 CMS’ Quarterly Provider Update includes all of the following except: Group of answer choices new pricing information regulations completed or cancelled regulations currently under development new or revised manual instructions Question 15 When a sampling audit discovers an overpayment, the auditors may: Group of answer choices divide by twelve multiply by five calculate the amount discovered to apply to the total only get back the amount of the overpayment discovered Question 16 A complaint from a patient should immediately cause the action of: Group of answer choices investigation termination appeal suspension Question 17 Employees who are terminated after being found guilty of wrongdoing should have: Group of answer choices no recourse three references one month’s severance pay access to a published appeal process Question 18 The audit report indicates that Susie has been coding for coverage on claims she submits for her friends who come to this clinic. This is an alleged: Group of answer choices human error moral violation ethical violation legal violation Question 19 An organization should follow all steps of __________ to avoid any perceptions that disciplinary actions are being applied unequally. Question 20 Generally, it is recommended that you include __________ disciplinary actions for failing to comply with a company policy. Question 21 A/an __________ sign is when it can be fairly obvious to see that something may be wrong. Question 22 The annual __________ outlines key areas that the Department of Health and Human Services will focus investigations. Question 23 A policy’s explanation of expected behaviors will need to include __________ behaviors. Question 24 HIPAA compliance is monitored by the __________ within the Department of Health and Human Services. Question 25 A new policy must be created for a reason important to the organization as a whole and the __________ for the policy should be explained to those affected by it. Question 26 Most of the time a compliance plan should be updated at least __________ time(s) per year, or when any new legislation goes into effect. Question 27 Filing a claim for reimbursement for a service or treatment that is know, or should be know, to be uncovered or invalid is __________. Question 28 A/an __________ sign is a more subtle indication that something may be wrong. Question 29 Every policy must have an appropriate __________ for failure to comply. Question 30 Suspension is an example of a __________ disciplinary action. Question 31 Explain the factors involved in designing an effective compliance program. Question 32 Describe the components of a training program. Question 33 Describe at least 3 of the important uses for health care documentation. Question 34 Identify and describe two health care enforcement agencies and/or programs.
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