Ethics and Regulatory Compliance

What does "DOJ" stand for?

US Department of Health and Human

Office of Inspection General

US Department of Justice

US Department of Human Resources

Which of the following is NOT INCLUDED in the action of steps?

Act quickly

Strategy depends on the internal investigation results

Cooperative or adversarial approaches

No fraud but overpayment- 60 day rule

An investigator shows up at your job

What does the 60-Day Rule mean?

If you don't investigate and repay, you can become guilty even when there wasn't any underlying liability for the initial overpayment

If you "know or should have known" of a potential overpayment-- one must reasonably investigate

Try and determine what overpayment is and what the requirements are for making arrangements to repay the money within 60 days

All of the answers are correct

Which of the following are true for OIG Self-Disclosure

Specific requirements for conducting an audit

Provides a path to avoid fines and penalties

Admission of wrongdoing

All of the answers are correct

Which of the following are NOT steps to mitigate damage?

Check your insurance coverage

Who handles corporate liabililty coverage?

Policies will rarely cover fines but they may cover defense costs

Strategy depends on the internal investigation results

Look to D&O or employment practices (EPLI) coverage

According to the "Knock Knock" policy, there is no need to educate ALL personnel in advance of an investigation

True

False

Keeping money inappropriately paid to you by the federal government is classified as a Reverse False Claim

True

False

Investigators from the OIG FBI can do which of the following:

Monitoring billing and performing routine audits will help facilities maintain compliance

True

False

A trail of documentation is NOT needed when handling audits and issues

True

False

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