Ethics and Regulatory Compliance

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Ethics and Regulatory Compliance Quiz

Test your knowledge on ethics and regulatory compliance with our comprehensive quiz designed for professionals in the healthcare field. Engage with challenging questions that cover key topics such as compliance investigations, Medicare rules, and effective practices for ensuring adherence to regulations.

Understand the role of various compliance institutions.
Learn about the implications of the Medicare 60-Day Rule.
Discover how to respond effectively to compliance inquiries.

11 Questions3 MinutesCreated by NavigatingTruth301

What are two (2) institutions that investigate compliance?

Office of the Inspector General

Medicare

Department of Justice

American Medical Association

If an investigator shows up, what do you do? Check all that apply.

Answer their questions

Tell them your outside counsel will contact them

Call your boss

Refuse to answer questions without counsel present

What is a Reverse False Claim?

The money is paid back

Unbundling

Keeping money inappropriately paid

Claim made for work that was not performed

How can you ensure compliance? Check all that apply.

Internal audits

Reviewing and updating compliance policies

Have a compliance officer

Make sure all employees read compliance policies and procedures

Which direction are enforcement trends heading?

Whistleblowers

Medicare audit compliance

60-Day Rule

Criminal rather than civil prosecution

Who do Medicare fraud units coordinate with? Check all that apply

State Medicaid Fraud Control

Office of Civil Rights

Department of Justice

Office of the Inspector General

What should you do if you are under investigation? Check all that apply.

An internal investigation

Personnel interviews

Third party audit

All of the above

Compliance policies and procedures are in place. What else is needed? Check all that apply.

Risk-based training

Confidential reporting mechanism

Effective training of all employees

All of the above

What is the Medicare 60-Day Rule?

Once an overpayment has been identified, you have 60 days to make arrangements to pay it back

You have 60 days to repay an overpayment

If you know, or should have known, that an overpayment was made, repayment needs to be within 60 days

You have 60 days to make a Medicare payment

Ethics and Regulatory Compliance

Ethics and Regulatory Compliance Quiz

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