PTSMC Corporate Compliance Quiz

Thank you for viewing the PTSMC Corporate Compliance Guide.

Please complete this short quiz to allow us to be sure you understand the important information included in this document.

All questions relating to this document may be directed to Melissa Boutagy (Clinical Compliance Officer) or Sandy Wickman Mason (Vice President of Operations & Corporate Compliance Officer).

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* 1. First & Last Name:

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* 2. What is NOT a key component in PTSMC’s Compliance Program?

Policies addressing misconduct related to fraud, waste, and abuse.

Commitment to maintaining an environment of integrity and compliance with applicable laws.

Communication of policy updates to Partners and Directors ONLY.

A reporting system for employees to report potential wrongful conduct without fear of retribution.

Responses to non-compliance violations.

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* 3. PTSMC’s Compliance Board of Directors consists of the following members:

Vice President of Operations & Corporate Compliance Officer and Vice President of Business Development

Director of Human Resources

Clinical Compliance Officer

Two Appointed PTSMC clinical partners/directors

All the above

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* 4. What steps does PTSMC take to ensure employees are informed about policy changes?

Informed through ADP courses. It is the employee's responsibility to be an expert in the communicated changes.

Informed via formal training and email communication. It is the employee's responsibility to review materials and comply with the changes.

No additional training is given after the probation period.

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* 5. How does PTSMC encourage its employees to seek clarification and report questionable situations related to compliance?

Employees are empowered to ask questions of their Director, Senior Leadership, or a Compliance Board member.

Employees are empowered to ask questions of their Director ONLY.

Employees are empowered to ask questions to their Director, the Corporate and Clinical Compliance Officer or colleagues in the clinic.

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* 6. When does compliance training occur for PTSMC employees and how often are federal training requirements reviewed?

During the first 30 days of employment ONLY

During the first 30 days of employment; reviewed and updated on an annual or quarterly basis depending on the topics.

During the first 30 days of employment; reviewed and updated on an annual basis.

No training given to new hires; reviewed and updated on an annual basis

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* 7. What options are available to employees for reporting compliance incidents?

Employees can report compliance incidents in-person to their supervisor, via telephone communication, in writing, or email to the Corporate Compliance Officer or Clinical Compliance Officer. They can also contact a member of the Compliance Board directly or use the online reporting platform.

Employees can report compliance incidents via telephone communication, in writing, or email to the Corporate Compliance Officer or Clinical Compliance Officer.

Employees should only use the online reporting platform.

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* 8. What steps does PTSMC take to maintain confidentiality during an investigation?

The Compliance Board and those notified will maintain the confidentiality of the reporting employee.

The person notified of the concern will not use the reporting employees name or clinic designation when reviewing the concern with other Compliance Board members.

Information is shared on a need-to-know basis to perform a thorough investigation.

All the above

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* 9. What information should be included in an anonymous report to ensure a thorough investigation?

Sufficient information including the location of concern, the date of the incident, the names of individuals involved, and a detailed description of the reporting incident.

Names of individuals involved and a detailed description of the reporting incident.

Names of individuals involved, a detailed description of the reporting incident and why the employee is reporting anonymously.

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* 10. How does PTSMC ensure that employees do not face retaliation or intimidation for asking questions or reporting concerns related to compliance incidents?

Retaliation or intimidation is strictly prohibited

Retaliation or intimidation is strictly prohibited and failure to report a known compliance incident is also considered a violation of PTSMC policy and can result in disciplinary action, including termination.

Failure to report a known compliance incident is worse than an employee’s retaliation and intimidation.

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* 11. PTSMC is committed to maintaining a safe work environment; what is PTSMC’s policy regarding drug and alcohol use during business hours?

Drug and alcohol use are prohibited from being used during business hours.

Drugs are unable to be used during business hours.

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* 12. How does PTSMC address inappropriate relationships between employees and patients to ensure ethical conduct in patient interactions?

Prohibits inappropriate relations between employees and patients.

Employee must disclose to the Human Resources Department if the relationship is serious.

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* 13. How does PTSMC conduct monitoring and auditing to ensure compliance with laws and policies?

Audits are conducted regularly with random samples and gathering factual information by properly trained auditors.

Audits are only performed when an issue arises.

Audits are performed during the first year as an employee.

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* 14. What actions should an employee take if they receive an inquiry from a governmental or regulatory representative regarding PTSMC activities?

Inform the representative that the matter must be referred to the Corporate Compliance Officer and immediately notify the Corporate Compliance Officer of the inquiry.

Notify the director.

Call the involved patient and have them sign the HIPAA release form to provide information to this agency.

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* 15. What actions are required when dealing with financial arrangements that may fall under Stark Law and the Anti-Kickback Statute?

Alert the Compliance Board of Directors prior to entering any arrangement.

Alert the Compliance Board of Directors after entering any arrangement.

Alert the Director of Billing and Vice Associate Vice President of Finance.

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* 16. Information taken from PTSMC for external uses such as school projects, conferences, or publishing must be...

Approved by Director and Reviewed by Director of Clinical Excellence and Clinical Compliance Officer

Approved by the Director of Marketing

Approved and Reviewed by the Compliance Board of Directors

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* 17. PTSMC ensures that patient care decisions, such as the length of a patient's course of treatment, are made based on clinical considerations rather than financial incentives.

True

False

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* 18. At PTSMC, who is mandated to report incidents of suspected abuse involving children, elderly individuals, or vulnerable/disabled adults?

Clinicians

All Employees

Compliance Board members

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* 19. PTSMC encourages its employees to engage with social media in a responsible and positive manner. Employees should use social media wisely, safeguard information, and maintain a positive online image.

Which statement reflects the key guideline employees should follow when engaging with social media on behalf of the company?

Avoid arguments and get approval for PTSMC-related posts from the Director of Marketing.

Avoid arguments and get approval for PTSMC-related posts from the Compliance Board.

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* 20. What are the guidelines for employees when promoting PTSMC clinics on social media or sharing PTSMC content on their personal social media accounts?

Create PTSMC content on your personal account and tag PTSMC.

PTSMC handles clinic promotion via its official accounts. Employees sharing PTSMC content on personal accounts must seek approval from the Marketing Department.

Each clinic will creating clinic-specific content on a clinic specific account daily.

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* 21. You notice a colleague is attempting to influence the length of a patient’s course of treatment for reasons that are unrelated to clinical considerations.

What statement applies to this scenario:

It is OK, if the insurance company already authorized those visits.

It is OK, if the documentation justifies the care.

Treatment is based solely based on a clinical consideration and not personal.

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* 22. You happen to come across a patient account and notice irregularities in the billing records for a specific therapist, including duplicate charges and billing for services that do not align with the documented treatment for a date of service.

What would make this scenario billing abuse?

Errors due to lack of documentation

Errors due to misunderstanding the billing rules

All of the above

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* 23. You happen to come across a patient account and notice irregularities in the billing records for a specific therapist, including duplicate charges and billing for services that do not align with the documented treatment for a date of service.

What would make this scenario fraud?

Intentional deception, knowingly misrepresenting the claims.

Accidentally carrying over a charge on multiple visits.

All the above

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* 24. A clinician at PTSMC encounters a patient exhibiting profane behavior and disruptive conduct, making it necessary to consider early termination of patient care. What are the initial steps to be taken?

Consult with the Clinical Director and the Clinical Compliance Officer.

Consult with Human Resources Department.

Consult with the Front Desk to cancel all appointments.

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* 25. A patient in your clinic mails a check in the amount of $1500 to the clinic. When should this deposit be made into the bank?

The next scheduled bank deposit date.

The next business day because it is >$500.

It doesn’t get deposited, it is mailed to the Lockbox.

PTSMC Corporate Compliance Quiz

Question Title

* 1. First & Last Name:

Question Title

* 2. What is NOT a key component in PTSMC’s Compliance Program?

Question Title

* 3. PTSMC’s Compliance Board of Directors consists of the following members:

Question Title

* 4. What steps does PTSMC take to ensure employees are informed about policy changes?

Question Title

* 5. How does PTSMC encourage its employees to seek clarification and report questionable situations related to compliance?

Question Title

* 6. When does compliance training occur for PTSMC employees and how often are federal training requirements reviewed?

Question Title

* 7. What options are available to employees for reporting compliance incidents?

Question Title

* 8. What steps does PTSMC take to maintain confidentiality during an investigation?

Question Title

* 9. What information should be included in an anonymous report to ensure a thorough investigation?

Question Title

* 10. How does PTSMC ensure that employees do not face retaliation or intimidation for asking questions or reporting concerns related to compliance incidents?

Question Title

* 11. PTSMC is committed to maintaining a safe work environment; what is PTSMC’s policy regarding drug and alcohol use during business hours?

Question Title

* 12. How does PTSMC address inappropriate relationships between employees and patients to ensure ethical conduct in patient interactions?

Question Title

* 13. How does PTSMC conduct monitoring and auditing to ensure compliance with laws and policies?

Question Title

* 14. What actions should an employee take if they receive an inquiry from a governmental or regulatory representative regarding PTSMC activities?

Question Title

* 15. What actions are required when dealing with financial arrangements that may fall under Stark Law and the Anti-Kickback Statute?

Question Title

* 16. Information taken from PTSMC for external uses such as school projects, conferences, or publishing must be...

Question Title

* 17. PTSMC ensures that patient care decisions, such as the length of a patient's course of treatment, are made based on clinical considerations rather than financial incentives.

Question Title

* 18. At PTSMC, who is mandated to report incidents of suspected abuse involving children, elderly individuals, or vulnerable/disabled adults?

Question Title

Question Title

* 20. What are the guidelines for employees when promoting PTSMC clinics on social media or sharing PTSMC content on their personal social media accounts?

Question Title

* 21. You notice a colleague is attempting to influence the length of a patient’s course of treatment for reasons that are unrelated to clinical considerations.What statement applies to this scenario:

Question Title

* 22. You happen to come across a patient account and notice irregularities in the billing records for a specific therapist, including duplicate charges and billing for services that do not align with the documented treatment for a date of service.What would make this scenario billing abuse?

Question Title

* 23. You happen to come across a patient account and notice irregularities in the billing records for a specific therapist, including duplicate charges and billing for services that do not align with the documented treatment for a date of service.What would make this scenario fraud?

Question Title

* 24. A clinician at PTSMC encounters a patient exhibiting profane behavior and disruptive conduct, making it necessary to consider early termination of patient care. What are the initial steps to be taken?

Question Title

* 25. A patient in your clinic mails a check in the amount of $1500 to the clinic. When should this deposit be made into the bank?

* 21. You notice a colleague is attempting to influence the length of a patient’s course of treatment for reasons that are unrelated to clinical considerations.

What statement applies to this scenario:

* 22. You happen to come across a patient account and notice irregularities in the billing records for a specific therapist, including duplicate charges and billing for services that do not align with the documented treatment for a date of service.

What would make this scenario billing abuse?

* 23. You happen to come across a patient account and notice irregularities in the billing records for a specific therapist, including duplicate charges and billing for services that do not align with the documented treatment for a date of service.

What would make this scenario fraud?