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HCCA - CHPC COMPREHENSIVE EXAM ||VERIFIED
EXAM!!|| MOST RECENT EXAM ACTUAL COMLETE
REAL EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ |
NEWEST EXAM!!!
In development of the annual work plan, physician
contract compliance was prioritized as a high-risk area.
When the compliance professional followed up with
management, it appeared that the monitoring identified for
this area was never put into place. Which of the following
should be the compliance professional's FIRST step?
a. Develop a corrective action plan
b. Identify a statistically valid sample
c. Conduct a probe sample
d. Notify legal counsel - Answer-Conduct a probe sample
Which of the following is the BEST question to include in
an employee exit interview? - Answer-Did you ever
observe anything that made you feel uncomfortable?
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A compliance professional is conducting a policy review.
Which of the following procedures MUST be included in
the policy for statistically valid sampling and extrapolation?
a. financial error rate exceeds 5% with a refund to occur
within 60 days
b. financial error rate exceeds 5% with a refund to occur
within 90 days
c. coding error rate exceeds 5% with a refund to occur
within 60 days
d. coding error rate exceeds 5% with a refund to occur
within 90 days - Answer-A) financial error rate exceeds 5%
with a refund to occur within 60 days
Incentive programs based on employee performance may
be tied to increases in
a. the case mix index
b. CPT/DRG codes
c. patient referrals
d. patient satisfaction - Answer-patient satisfaction
A preliminary investigation identified payments to
physicians for medical directorships without written
contracts. Which of the following should be the compliance
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professionals NEXT step? - Answer-Determine if medicare
payments were received
An organization identifies a potential issue when reviewing
personal services and management contracts. Which of
the following should the compliance professional consider
in analyzing the issue? - Answer-Anti-Kickback Safe
harbors
In an investigation, the MOST important responsibility of
the compliance professional is to - Answer-assure
independence in all investigations
A compliance professional discovers non-compliance with
a regulation. Which of the following should the compliance
professional do FIRST? - Answer-Conduct a baseline
audit
A record retention policy must be based on - Answer-
applicable state laws
Training is scheduled for employees to learn about cost
reporting risks. This type of training is an example of
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a. online training
b. general training
c. focused training
d. orientation training - Answer-focused training
Which of the following are MOST relevant in evaluating the
effectiveness of a compliance training program?
1. percent of target audience that has attended
2. whether the training is computer-based on classroom-
based
3. whether training adequately addresses areas of
concern
4. improvement shown in pre- and post-training quizzes -
Answer-1, 3, and 4 only
Qui tam actions enable any person to bring forth action to
the - Answer-government, based on original information
An individual's understanding of the compliance aspects of
their job can BEST be enhanced by including compliance
in - Answer-annual evaluations
HCCA - CHPC COMPREHENSIVE EXAM ||VERIFIED
EXAM!!|| MOST RECENT EXAM ACTUAL COMLETE
REAL EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ |
NEWEST EXAM!!!
In development of the annual work plan, physician
contract compliance was prioritized as a high-risk area.
When the compliance professional followed up with
management, it appeared that the monitoring identified for
this area was never put into place. Which of the following
should be the compliance professional's FIRST step?
a. Develop a corrective action plan
b. Identify a statistically valid sample
c. Conduct a probe sample
d. Notify legal counsel - Answer-Conduct a probe sample
Which of the following is the BEST question to include in
an employee exit interview? - Answer-Did you ever
observe anything that made you feel uncomfortable?
,2|Page
A compliance professional is conducting a policy review.
Which of the following procedures MUST be included in
the policy for statistically valid sampling and extrapolation?
a. financial error rate exceeds 5% with a refund to occur
within 60 days
b. financial error rate exceeds 5% with a refund to occur
within 90 days
c. coding error rate exceeds 5% with a refund to occur
within 60 days
d. coding error rate exceeds 5% with a refund to occur
within 90 days - Answer-A) financial error rate exceeds 5%
with a refund to occur within 60 days
Incentive programs based on employee performance may
be tied to increases in
a. the case mix index
b. CPT/DRG codes
c. patient referrals
d. patient satisfaction - Answer-patient satisfaction
A preliminary investigation identified payments to
physicians for medical directorships without written
contracts. Which of the following should be the compliance
,3|Page
professionals NEXT step? - Answer-Determine if medicare
payments were received
An organization identifies a potential issue when reviewing
personal services and management contracts. Which of
the following should the compliance professional consider
in analyzing the issue? - Answer-Anti-Kickback Safe
harbors
In an investigation, the MOST important responsibility of
the compliance professional is to - Answer-assure
independence in all investigations
A compliance professional discovers non-compliance with
a regulation. Which of the following should the compliance
professional do FIRST? - Answer-Conduct a baseline
audit
A record retention policy must be based on - Answer-
applicable state laws
Training is scheduled for employees to learn about cost
reporting risks. This type of training is an example of
, 4|Page
a. online training
b. general training
c. focused training
d. orientation training - Answer-focused training
Which of the following are MOST relevant in evaluating the
effectiveness of a compliance training program?
1. percent of target audience that has attended
2. whether the training is computer-based on classroom-
based
3. whether training adequately addresses areas of
concern
4. improvement shown in pre- and post-training quizzes -
Answer-1, 3, and 4 only
Qui tam actions enable any person to bring forth action to
the - Answer-government, based on original information
An individual's understanding of the compliance aspects of
their job can BEST be enhanced by including compliance
in - Answer-annual evaluations
