HCCA-CHC EXAM – QUESTIONS AND ANSWERS |
VERIFIED AND WELL DETAILED ANSWERS | PLUS
RATIONALES | GUARANTEED PASS | LATEST EXAM
UPDATE
*Core Domains*
*Standards of Conduct and Policies*
*Compliance Program Administration*
*Auditing and Monitoring Systems*
*Internal Reporting and Investigation*
*Response to Compliance Violations*
*Privacy and Security Laws*
*Risk Assessment and Management*
*Healthcare Regulatory Environment*
*Education and Training Initiatives*
*Introduction*
The Certified in Healthcare Compliance (CHC) examination is
designed to validate the proficiency of healthcare
professionals in managing and overseeing organizational
compliance programs. The purpose of this assessment is to
,evaluate the candidate's understanding of complex regulatory
requirements, including HIPAA, the False Claims Act, and the
Anti-Kickback Statute. This exam comprises 200 multiple-
choice and scenario-based questions that test both
foundational theoretical knowledge and practical decision-
making skills. By emphasizing real-world application, the
assessment ensures that successful candidates possess the
critical thinking abilities necessary to mitigate legal risks,
uphold ethical standards, and promote a culture of integrity
within diverse healthcare environments.
*SECTION ONE*
1. Which of the following is considered a core element of
an effective compliance program according to the OIG?
A. Annual mandatory employee vacations
B. Implementation of a tiered pricing strategy
C. Designation of a compliance officer and compliance
committee
,D. Selection of a board of directors based on clinical
expertise
🟢 C. Designation of a compliance officer and compliance
committee
🔴 Explanation: The OIG’s guidance for healthcare
organizations lists the designation of a compliance officer and
a compliance committee as one of the seven essential
elements of an effective compliance program.
2. A compliance officer discovers that a physician is
regularly upcoding evaluation and management
services. What should be the first step in the
investigation?
A. Immediate termination of the physician's contract
B. Reporting the physician to the Department of Justice
C. Conducting a baseline audit of the physician's billing
records
D. Notifying all patients of the billing error
🟢 C. Conducting a baseline audit of the physician's billing
records
, 🔴 Explanation: Before taking punitive or external reporting
actions, the compliance officer must establish the scope and
frequency of the issue through a documented internal audit.
3. Under the Stark Law, which of the following is true
regarding physician self-referrals?
A. It is a sub-category of the Anti-Kickback Statute
B. It is a strict liability statute, meaning intent does not need
to be proven
C. It applies only to referrals for inpatient hospital services
D. It allows for any referral as long as the physician's interest
is disclosed
🟢 B. It is a strict liability statute, meaning intent does not
need to be proven
🔴 Explanation: Unlike the Anti-Kickback Statute, the Stark
Law is a strict liability statute; if a financial relationship exists
and no exception is met, a violation has occurred regardless
of intent.
4. What is the primary purpose of a "Quiet Period" during a
healthcare organization's internal investigation?
VERIFIED AND WELL DETAILED ANSWERS | PLUS
RATIONALES | GUARANTEED PASS | LATEST EXAM
UPDATE
*Core Domains*
*Standards of Conduct and Policies*
*Compliance Program Administration*
*Auditing and Monitoring Systems*
*Internal Reporting and Investigation*
*Response to Compliance Violations*
*Privacy and Security Laws*
*Risk Assessment and Management*
*Healthcare Regulatory Environment*
*Education and Training Initiatives*
*Introduction*
The Certified in Healthcare Compliance (CHC) examination is
designed to validate the proficiency of healthcare
professionals in managing and overseeing organizational
compliance programs. The purpose of this assessment is to
,evaluate the candidate's understanding of complex regulatory
requirements, including HIPAA, the False Claims Act, and the
Anti-Kickback Statute. This exam comprises 200 multiple-
choice and scenario-based questions that test both
foundational theoretical knowledge and practical decision-
making skills. By emphasizing real-world application, the
assessment ensures that successful candidates possess the
critical thinking abilities necessary to mitigate legal risks,
uphold ethical standards, and promote a culture of integrity
within diverse healthcare environments.
*SECTION ONE*
1. Which of the following is considered a core element of
an effective compliance program according to the OIG?
A. Annual mandatory employee vacations
B. Implementation of a tiered pricing strategy
C. Designation of a compliance officer and compliance
committee
,D. Selection of a board of directors based on clinical
expertise
🟢 C. Designation of a compliance officer and compliance
committee
🔴 Explanation: The OIG’s guidance for healthcare
organizations lists the designation of a compliance officer and
a compliance committee as one of the seven essential
elements of an effective compliance program.
2. A compliance officer discovers that a physician is
regularly upcoding evaluation and management
services. What should be the first step in the
investigation?
A. Immediate termination of the physician's contract
B. Reporting the physician to the Department of Justice
C. Conducting a baseline audit of the physician's billing
records
D. Notifying all patients of the billing error
🟢 C. Conducting a baseline audit of the physician's billing
records
, 🔴 Explanation: Before taking punitive or external reporting
actions, the compliance officer must establish the scope and
frequency of the issue through a documented internal audit.
3. Under the Stark Law, which of the following is true
regarding physician self-referrals?
A. It is a sub-category of the Anti-Kickback Statute
B. It is a strict liability statute, meaning intent does not need
to be proven
C. It applies only to referrals for inpatient hospital services
D. It allows for any referral as long as the physician's interest
is disclosed
🟢 B. It is a strict liability statute, meaning intent does not
need to be proven
🔴 Explanation: Unlike the Anti-Kickback Statute, the Stark
Law is a strict liability statute; if a financial relationship exists
and no exception is met, a violation has occurred regardless
of intent.
4. What is the primary purpose of a "Quiet Period" during a
healthcare organization's internal investigation?
