HCCA CHC - CCB Practice Test exam
2024 with 100% correct answers
Organizations receiving more than $5 million in Medicaid funds must provide education on the False
Claims Act (FCA) in accordance with the:
a. Stark Laws
b. Deficit Reduction Act (DRA)
c. Anti-Kickback (AKS) Law
d. Sherman Antitrust Law - correct answer b. Deficit Reduction Act (DRA)
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?
a. Deficit Reduction Act (DRA)
b. Conditions of Participation (CoP)
c. IRS tax-exempt guidelines
d. Anti-Kickback (AKS) Safe Harbors - correct answer d. Anti-Kickback (AKS) Safe Harbors
A hotline caller states the coding department was instructed to code based on LCD requirements
regardless of medical record information. Which of the following should be the compliance
professional's FIRST action?
a. direct the coding supervisor to follow the applicable policy
b. incorporate the coding issue into next year's risk assessment
c. design a review to find facts and circumstances related to the compliant
d. engage outside counsel to protect the underlying facts from discovery - correct answer c. design a
review to find facts and circumstances related to the compliant
, 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 - correct answer c. Conduct a probe sample
A compliance professional identified an issue with medical necessity. The compliance professional
should collaborate with the:
a. case manager
b. billing clerk
c. documentation specialist
d. patient account representative - correct answer a. case manager
When non-compliance is substantiated, disciplinary action should be administered
a. within 30 days
b. if intent is proven
c. in a consistent manner
d. after completion of corrective action - correct answer c. in a consistent manner
Which of the following is the BEST question to include in an employee exit interview?
a. Why are you leaving your job?
b. Did you ever observe anything that made you feel uncomfortable?
c. How many times did you use the compliance hotline?
d. Do you think your patients knew about the hotline? - correct answer b. Did you ever observe
anything that made you feel uncomfortable?
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?
2024 with 100% correct answers
Organizations receiving more than $5 million in Medicaid funds must provide education on the False
Claims Act (FCA) in accordance with the:
a. Stark Laws
b. Deficit Reduction Act (DRA)
c. Anti-Kickback (AKS) Law
d. Sherman Antitrust Law - correct answer b. Deficit Reduction Act (DRA)
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?
a. Deficit Reduction Act (DRA)
b. Conditions of Participation (CoP)
c. IRS tax-exempt guidelines
d. Anti-Kickback (AKS) Safe Harbors - correct answer d. Anti-Kickback (AKS) Safe Harbors
A hotline caller states the coding department was instructed to code based on LCD requirements
regardless of medical record information. Which of the following should be the compliance
professional's FIRST action?
a. direct the coding supervisor to follow the applicable policy
b. incorporate the coding issue into next year's risk assessment
c. design a review to find facts and circumstances related to the compliant
d. engage outside counsel to protect the underlying facts from discovery - correct answer c. design a
review to find facts and circumstances related to the compliant
, 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 - correct answer c. Conduct a probe sample
A compliance professional identified an issue with medical necessity. The compliance professional
should collaborate with the:
a. case manager
b. billing clerk
c. documentation specialist
d. patient account representative - correct answer a. case manager
When non-compliance is substantiated, disciplinary action should be administered
a. within 30 days
b. if intent is proven
c. in a consistent manner
d. after completion of corrective action - correct answer c. in a consistent manner
Which of the following is the BEST question to include in an employee exit interview?
a. Why are you leaving your job?
b. Did you ever observe anything that made you feel uncomfortable?
c. How many times did you use the compliance hotline?
d. Do you think your patients knew about the hotline? - correct answer b. Did you ever observe
anything that made you feel uncomfortable?
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?
