Deck 13: Audits and Inspections

Question 1

The three categories of problems that need to be uncovered and addressed include:

A) Covert problems.
B) Safety protocols.
C) Restitution.
D) Uncovering excuses.

Answer 1

Covert problems.

Question 2

An audit was performed using data from the last 3 years, current year not included. This is known as a:

A) Concurrent audit.
B) Retrospective audit.
C) Comprehensive audit.
D) Common sampling audit.

Answer 2

Retrospective audit.

Question 3

Included in the audit process, a review of all applicable ________ must be done.

A) laws
B) regulations
C) guidance
D) All of these

Answer 3

All of these

Question 4

Every employee in the Pediatrics Department is directed to submit to a drug test. This is an example of a:

A) Comprehensive audit.
B) Concurrent audit.
C) Sampling audit.
D) Retrospective audit.

Question 5

A non-compliant event that is deeply hidden and cannot be identified without an in-depth investigation is known as a/n:

A) Overt problem.
B) Covert problem.
C) Occult problem.
D) All of the above.

Question 6

One of the best ways to prepare for an external audit is to:

A) Hire a good attorney.
B) Perform an internal audit.
C) Erase all applicable files from the server.
D) All of the above

Question 7

An assessment to determine compliance performed by an authorized agency or organization is known as a (an):

A) External audit.
B) Retrospective audit.
C) Internal audit.
D) Trend analysis.

Question 8

One method for identifying overt problems is to:

A) Ask around the cafeteria.
B) Take patient complaints seriously.
C) Interrogate all staff members.
D) Complete a staff survey.

Question 9

You have just received a subpoena duces tecum. This means you must:

A) Testify in court.
B) Deliver specified documents to the court.
C) Be available to the court for 30 days.
D) Serve on a jury.

Question 10

Multiple agencies from ___ have the authority to audit your facility.

A) private insurance companies
B) state government
C) federal government
D) All of these

Question 11

An assessment conducted on a statistically valid portion of the entire body of data is known as a:

A) Sampling audit.
B) Retrospective audit.
C) Concurrent audit.
D) Covert audit.

Question 12

A non-compliant event that is not obvious or easily seen is known as a/n:

A) Internal problem.
B) Overt problem.
C) Covert problem.
D) Extrapolation.

Question 13

An example of an overt problem is:

A) A physician who is a functioning alcoholic.
B) Upcoding on claim forms.
C) Medical assistants gossiping about patients.
D) A nurse stealing drugs.

Question 14

The determination of results by projecting existing experience or known data is known as:

A) Upcoding.
B) Statistical assessment.
C) Extrapolation.
D) Sampling.

Question 15

You instruct your assistant to review the records of all employees who work in the clinic to ensure all vaccinations are up-to-date. This is an example of:

A) External audit.
B) Internal audit.
C) Manufactured audit.
D) Abuse of power.

Question 16

A valid internal audit will include all of the following steps except:

A) Determination of the scope of the audit.
B) Letting the audit team take as much time as they want.
C) Not requiring a written report.
D) All of the above

Question 17

An investigation focused on analyzing and evaluating certain amounts of data is known as:

A) An evaluation.
B) A scope document.
C) An audit.
D) An internal investigation.

Question 18

The review and assessment of data taken over a period of time with the intention of identifying patterns is known as performing a/n:

A) Retrospective audit.
B) Internal audit.
C) Sampling audit.
D) Trend analysis.

Question 19

An audit was planned to review a small percentage of a facility's files by randomly choosing which records to analyze. This is known as a:

A) Comprehensive audit.
B) Concurrent audit.
C) Sampling audit.
D) Retrospective audit.

Question 20

The first few phases of an external audit are completed:

A) In person at your office.
B) In person at the investigator's office.
C) Over the telephone.
D) Electronically.

Question 21

When going through an external audit, before receiving the auditor's determinations, you should be certain to prepare:

A) An alibi.
B) A company check for the fines and penalties.
C) Information and documentation required for the appeals process.
D) Your résumé.

Question 22

One of the reasons that many external audits are done retrospectively is that they go beyond finding errors; they look at the:

A) Education levels of all staff.
B) Gender of all staff.
C) Names and religion of all staff.
D) Ongoing repetition of the same error.

Question 23

For an audit to have value, the results must be:

A) Kept confidential.
B) Acted upon.
C) Publicized.
D) Copied to the Attorney General of your state.

Question 24

What is the first thing the administrator should do after receiving notification of an external audit?

A) Pull the requested files.
B) Call a Board of Directors meeting.
C) Verify from whom the request has come.
D) Contact the facility's attorney.

Question 25

An external audit of your facility may be initiated by:

A) Random selection.
B) A prescheduled annual event.
C) An alert of specific activity.
D) All of these.