Which of the following are examples of issues that should be reported to a Compliance Department?

• A. Suspected Fraud, Waste, and Abuse
• B. Potential health privacy violation
• C. Unethical behavior/employee misconduct
• D. All of the above

Answer: (D)

Reporting to the Compliance Department is about flagging anything that could violate laws, policies, or organizational ethics. Suspected fraud, waste, and abuse is a classic Compliance issue because it deals with misuse of resources and potential illegal activity, which compliance programs are designed to detect and address. A potential health privacy violation also belongs in Compliance because protecting personal health information is a legal obligation and a core policy area that regulators monitor. Unethical behavior or employee misconduct likewise falls under Compliance since it undermines integrity, governance, and policy adherence. Since each of these situations represents a risk to regulatory compliance and organizational governance, they all belong in reports to the Compliance Department. In practice, organizations provide channels like hotlines or secure reporting portals to ensure these concerns are investigated while safeguarding the reporter.