Name:
Date:
PLEASE PRINT/SIGN
School:
Instructor:
2014 Corporate Compliance
Acknowledgement Test
Circle your response to each statement. Erase any stray marks. Return this form to your
school instructor.
1. What is compliance in the workplace?
a. Following the rules, regulations, and laws set forth by the government
b. Following the policies and procedures set forth by GHS
c. Following the policies and procedures set forth by your department
d. Both a and c.
e. A, B, and C.
2. What is compliance in the workplace?
a. Following the rules, regulations, and laws set forth by the government
b. Following the policies and procedures set forth by GHS
c. Following the policies and procedures set forth by your department
d. Both a and c.
e. A, B, and C.
3. I understand that the GHS Code of Conduct covers a variety of topics including referral
relationships, vendor relationships, conflicts of interest, billing and coding, reporting
compliance concerns, workplace conduct, patient quality of care, patient and associate
safety, and confidentiality. The next few questions will focus on these topics. Select yes
to agree and continue.
a. Yes
4. Which of the following topics would NOT be covered in the GHS Code of Conduct?
a. Reporting compliance concerns
b. An explanation of benefits
c. Workplace conduct
d. Payroll information
e. Both B and D
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5. Acme vendor has developed relationships with several physicians and associates at GHS.
You have noticed that several vendor representatives have been offering free lunches and
discount coupons for local merchants to associates in exchange for “remembering” Acme
when patients need services. You expressed this concern to your supervisor who
responded by saying, “We love the representatives from Acme! They always bring us
lunch and who doesn’t love a discount?” Who should you report this behavior to next?
a. No one. You already told your supervisor who said it is not a big deal
b. The Office of Corporate Compliance and HIPAA Administration or the associate
relations director in human resources
c. The Joint Commission
d. Your best friend
e. The local news station
6. The Office of Corporate Compliance and HIPAA Administration has adequately
addressed your concern about Acme vendor, but now you are worried that you have ruined
the relationship between GHS and Acme and feel that your job is in jeopardy. What
policy at GHS protects your job in a situation like this?
a. The Contracting Policy
b. The non retaliation policy in the Complaints and Grievances Policy
c. Policy for Screening of Ineligible Persons
d. None of the above
e. All of the above
7. You fell down during your shift. Although you were able to get up and walk, you are in a
lot of pain. What should you do next?
a. Fill out a Hazard Tracker
b. Fill out a medication error information form
c. Fill out an OhNo! Form
d. Fill out a Fall Variance Report
e. All of the above
8. You work in medical billing. You noticed that many patients are being billed separately
for services that should be a single service. This is an example of what?
a. Fraud
b. Waste
c. Abuse
d. Kickback
e. Quality concern
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9. You are a nurse. While you are on your shift you see a fellow nurse disposing of
hazardous drugs in a manner that does not follow the policy for disposing of hazardous
drugs. Do you have an obligation to report this behavior?
a. No
b. Yes
10. When you have questions about matters of compliance, where can you find an answer?
a. The Office of Corporate Compliance and HIPAA Administration
b. The GHS Code of Conduct
c. B only
d. Both a and b
11. What can you do to strengthen the compliance program at GHS?
a. Asking questions
b. Participating in department meetings
c. Participating in policy development
d. Looking for opportunities to learn more about our healthcare system
e. All of the above
Student/Faculty Agreement
I know Compliance Resources are available on the GHS intranet and by directly contacting the
Office of Corporate Compliance and HIPAA Administration.
Yes
No
I agree to report any actual or perceived concern regarding GHS policies to my
instructor/manager, the Office of Corporate Compliance & HIPAA Administration or by calling
the Compliance Hotline at 1-888-696-9881.
I accept
I do not accept
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