CHC Exam | Questions and Verified Answers| 1
n n n n n n n
00% Correct (2023/ 2024) n n n
QUESTION
Then CMPn finen amountsn aren increased n annuallyn based n onn what n act?
a. Federaln Civiln Penaltiesn Inflationn Adjustment n Act n Improvementsn Act n of n 2015
b. Medicaren Modernizationn Act n of n 2003
c. Healthn Insurancen Portabilityn and n Accountabilityn Act n of n 1996
d. Deficit n Reductionn Act n of n 2005
Answer:
a. Federaln Civiln Penaltiesn Inflationn Adjustment n Act n Improvementsn Act n of n 2015.
Then Federaln Civiln Penaltiesn Inflationn Adjustment nAct nImprovementsn Act nofn2015n(then2015n Act)n (P
ublicn Law n 114-
74,n Sec.n 701),n whichn furthern amended nthen Federaln Civiln Penaltiesn Inflationn Adjustment nActn ofn1990
n (then Inflationn Adjustment n Act)n (Publicn Law n 101-
410)n wasn enacted n onnNovembern 2,n2015.n Then 2015nActn requiresn agenciesn ton adjust nthen leveln of nappli
cablen CMPsn withn ann initialn "catch-
up"n adjustment,n throughn interimn finaln rulemakingn (IFR);n and,n maken subsequent nannualn adjustments
n forn inflation.n Then Officen of nManagement n and n Budget n (OMB)n publishesn then adjustment n multipliern
based n onn then Consumern Pricen Indexn forn Alln Urbann Consumersn (CPI-U).
Then catch-
upn adjustment n wasn published ninn 2016.nThen annualn adjustmentsnaren tonben published ninn then Federaln R
egistern non latern thann Januaryn 15n of n eachn calendarn year.
Note:n practicen questionn fromn AAPCn CPCO n Ch4
QUESTION
An physiciann whon failsn ton respond n ton ann emergencyn situationn whenn shen isn assigned n asn then on-
calln physician:
a. Mayn ben inn violationn of n EMTALA,n and n mayn subject n herself n and n then hospitaln ton an penalty.
b. Mayn ben inn violationn of n EMTALA n becausen shen should n ben onn then hospitaln campusn at n alln timesn
whenn shen isn onn call.
c. Isn not n inn violationn of n EMTALA n becausen shen isn onlyn onn call.
d. Isn not n inn violationn of n EMTALA n becausen EMTALA n onlyn relatesn ton hospitals.
Answer:
a. Mayn ben inn violationn of n EMTALA,n and n mayn subject n herself n and n then hospitaln ton an penalty.
Sectionn 1395dd(d)(1)(C)n imposesn an penaltyn onnan physiciann whonfailsn tonrespond nton ann emergencyn s
ituationn whenn hen orn shen isn assigned n asn then on-calln physician.n An physiciann whon isn onn calln and n fails
,orn refusesn ton appearn aftern beingn called nbynanothernphysiciann mayn ben subject nton anpenaltynundern then st
atuten orn mayn subject n then hospitaln ton an penaltyn undern then statute.
Note:n practicen questionn fromn AAPCn CPCO n Ch6
QUESTION
Whichn of n then followingn isn then BESTn questionn ton includen inn ann employeen exit n interview?
a. Whyn aren youn leavingn yourn job?
b. Did n youn evern observen anythingn that n maden youn feeln uncomfortable?
c. How n manyn timesn did n youn usen then compliancen hotline?
d. Don youn thinkn yourn patientsn knew n about n then hotline?
Answer:
b. Did n youn evern observen anythingn that n maden youn feeln uncomfortable?
QUESTION
An component n of n then DOLn that n developsn and n administersn standardsn relatingn ton then well-
beingn of n worksn at n then jobn site,ndevelopsn andn issuesn regulationsn inn thisn area,n conductsn investigationsn
and n inspectionsn ton determinen statusnofncompliancen withn safetynandnhealthn standardsnandnregulations,
n and n issuesn citationsn and n proposesn penaltiesn forn noncompliance
Answer:
Occupationaln Safetyn and n Healthn Administrationn (OSHA)
QUESTION
Youn aren performingn an regularn inventoryn of nthen controlled n substancesn inn thenpharmacy.n Youn discover
n an minorn inventoryn discrepancy.n What n should n youn do?
A. Calln then localn lawn enforcement
B. Performn anothern review
C. Contact n yourn compliancen department
D. Discussn yourn concernsn withn yourn supervisor
E. Follow n yourn pharmaciesn procedures
Answer:
E.n Follow n yourn pharmaciesn procedures
,Sincen thisn isn an minorn discrepancyn inn then inventorynyounaren notn required ntonnotifynthenDEA.nYoun shou
ld n follow n yourn pharmaciesn proceduresn ton determinen then next n steps.
QUESTION
Youn aren inn chargen of n payment n ofnclaimsn submitted n fromn providers.n Younnoticen ancertainn diagnosticn
providern ("Doen Diagnostics")n hasn requested n an substantialn payment nfornan largen numbern of n members.
n Manyn of n thesen claimsn aren forn ancertainn procedure.n Younreview n thensamen typenof nprocedurenforn othe
rn diagnosticn providersn and nrealizen that nDoenDiagnostics'n claimsn farn exceednanyn othern providernthatny
oun reviewed.n What n don youn do?
A.n Calln Doen Diagnosticsn and n request n additionaln informationn forn then claims
B.n Consult n withn yourn immediaten supervisorn orn Compliancen Department n forn next n steps
C.n Reject n then claims
D.n Payn then claims
Answer:
B.n Consult n withnyourn immediatensupervisorn forn next nstepsn orncontact nthencompliancen department n (vi
an compliancen hotline,n Specialn Investigationsn Unit n [SIU],n orn othern mechanism).
Youn don notnwant ntoncontactn thenprovider.n Thisn mayn jeopardizen anninvestigation.n Norndonyounwantn to
n payn orn reject n then claimsn untiln furthern discussionsn withn yourn supervisorn orn thencompliancen departme
nt n haven occurred,n includingn whethern additionaln documentationn isn necessary.
QUESTION
Related n ton Corporaten IntegritynAgreementsn withnthengovernment,nwhatn isnann IROn andnwhat naren thend
etailsn of n how n it n works?n Choosen 2n answers.
a. Independent n Reorganizationn Operation.
b. Theyn don then auditingn required n byn an CIA.
c. Then OIG n hiresn them.
d. Theyn need n ton ben fairn and n unbiased n and n can't n haven an financialn relationshipn withn then hospital.
Answer:
b.n Theyn don then auditingn required n byn an CIA.
d.n Theyn need n ton ben fairn and n unbiased n and n can't n haven an financialn relationshipn withn then hospital.
Explanation:n IROsn need nton meet ncriterian andnfollow nthenAICPA nandnSECn guidancen (unbiased n judge
ment,n honest n neutrality,n and n demonstraten independencen amongn othern requirements)
, QUESTION
What n should n CCOn ben ablen ton do?n (What n skillsn should n thisn personn have?)n Choosen alln that n apply.
a. Leadershipn skills.
b. Overseen then codingn department.
c. Skillsn ton designn and n implement n an compliancen program.
d. Ben ablen ton anticipaten new n riskn areas.
e. Practicaln experiencen withn documentingn medicaln necessity.
Answer:
a. c.n d.
QUESTION
Related n tonLegaln Doctrinesn fornProtectionn fromn Disclosuren ton protectn certainn documentsn duringn t
hen coursen of n discovery.
What n isn then workn product n doctrine?
a. Ensuresn that n attorneyn documentationn isn accessiblen ton then hospital.
b. Ensuresn that n attorneyn documentationn isn accessiblen ton then OIG.
c. Protectsn attorneyn documentsn that n weren prepared n forn litigationn purposes.
d. Allowsn then hospitaln ton protect n documentsn sent n ton then attorney.
Answer:
c.n Protectsn attorneyn documentsn that n weren prepared n forn litigationn purposes.
Differsn fromn attorney-
client n privilegen (ACP)n inn that n it n protectsn onlyn documentsn fromn discoveryn includingn interviews,n me
mos,n correspondence,n notesn and n briefs,n whichn evidencen "mentaln impressions,n conclusions,n opinion
sn orn legaln theoriesn of n anyn attorney.
Documentsn must n haven beenn prepared ninn anticipationn of nlitigationn orninn anticipationn of n an disclosuren t
on then government.
QUESTION
An commonn reportingn system,n administered n innhousen ornbynoutsiden consultants,n givingn anonymousn t
elephonen accessn ton employeesn seekingn ton report n possiblen instancesn of n wrongdoing
Answer:
Hotlinen orn Helpline
n n n n n n n
00% Correct (2023/ 2024) n n n
QUESTION
Then CMPn finen amountsn aren increased n annuallyn based n onn what n act?
a. Federaln Civiln Penaltiesn Inflationn Adjustment n Act n Improvementsn Act n of n 2015
b. Medicaren Modernizationn Act n of n 2003
c. Healthn Insurancen Portabilityn and n Accountabilityn Act n of n 1996
d. Deficit n Reductionn Act n of n 2005
Answer:
a. Federaln Civiln Penaltiesn Inflationn Adjustment n Act n Improvementsn Act n of n 2015.
Then Federaln Civiln Penaltiesn Inflationn Adjustment nAct nImprovementsn Act nofn2015n(then2015n Act)n (P
ublicn Law n 114-
74,n Sec.n 701),n whichn furthern amended nthen Federaln Civiln Penaltiesn Inflationn Adjustment nActn ofn1990
n (then Inflationn Adjustment n Act)n (Publicn Law n 101-
410)n wasn enacted n onnNovembern 2,n2015.n Then 2015nActn requiresn agenciesn ton adjust nthen leveln of nappli
cablen CMPsn withn ann initialn "catch-
up"n adjustment,n throughn interimn finaln rulemakingn (IFR);n and,n maken subsequent nannualn adjustments
n forn inflation.n Then Officen of nManagement n and n Budget n (OMB)n publishesn then adjustment n multipliern
based n onn then Consumern Pricen Indexn forn Alln Urbann Consumersn (CPI-U).
Then catch-
upn adjustment n wasn published ninn 2016.nThen annualn adjustmentsnaren tonben published ninn then Federaln R
egistern non latern thann Januaryn 15n of n eachn calendarn year.
Note:n practicen questionn fromn AAPCn CPCO n Ch4
QUESTION
An physiciann whon failsn ton respond n ton ann emergencyn situationn whenn shen isn assigned n asn then on-
calln physician:
a. Mayn ben inn violationn of n EMTALA,n and n mayn subject n herself n and n then hospitaln ton an penalty.
b. Mayn ben inn violationn of n EMTALA n becausen shen should n ben onn then hospitaln campusn at n alln timesn
whenn shen isn onn call.
c. Isn not n inn violationn of n EMTALA n becausen shen isn onlyn onn call.
d. Isn not n inn violationn of n EMTALA n becausen EMTALA n onlyn relatesn ton hospitals.
Answer:
a. Mayn ben inn violationn of n EMTALA,n and n mayn subject n herself n and n then hospitaln ton an penalty.
Sectionn 1395dd(d)(1)(C)n imposesn an penaltyn onnan physiciann whonfailsn tonrespond nton ann emergencyn s
ituationn whenn hen orn shen isn assigned n asn then on-calln physician.n An physiciann whon isn onn calln and n fails
,orn refusesn ton appearn aftern beingn called nbynanothernphysiciann mayn ben subject nton anpenaltynundern then st
atuten orn mayn subject n then hospitaln ton an penaltyn undern then statute.
Note:n practicen questionn fromn AAPCn CPCO n Ch6
QUESTION
Whichn of n then followingn isn then BESTn questionn ton includen inn ann employeen exit n interview?
a. Whyn aren youn leavingn yourn job?
b. Did n youn evern observen anythingn that n maden youn feeln uncomfortable?
c. How n manyn timesn did n youn usen then compliancen hotline?
d. Don youn thinkn yourn patientsn knew n about n then hotline?
Answer:
b. Did n youn evern observen anythingn that n maden youn feeln uncomfortable?
QUESTION
An component n of n then DOLn that n developsn and n administersn standardsn relatingn ton then well-
beingn of n worksn at n then jobn site,ndevelopsn andn issuesn regulationsn inn thisn area,n conductsn investigationsn
and n inspectionsn ton determinen statusnofncompliancen withn safetynandnhealthn standardsnandnregulations,
n and n issuesn citationsn and n proposesn penaltiesn forn noncompliance
Answer:
Occupationaln Safetyn and n Healthn Administrationn (OSHA)
QUESTION
Youn aren performingn an regularn inventoryn of nthen controlled n substancesn inn thenpharmacy.n Youn discover
n an minorn inventoryn discrepancy.n What n should n youn do?
A. Calln then localn lawn enforcement
B. Performn anothern review
C. Contact n yourn compliancen department
D. Discussn yourn concernsn withn yourn supervisor
E. Follow n yourn pharmaciesn procedures
Answer:
E.n Follow n yourn pharmaciesn procedures
,Sincen thisn isn an minorn discrepancyn inn then inventorynyounaren notn required ntonnotifynthenDEA.nYoun shou
ld n follow n yourn pharmaciesn proceduresn ton determinen then next n steps.
QUESTION
Youn aren inn chargen of n payment n ofnclaimsn submitted n fromn providers.n Younnoticen ancertainn diagnosticn
providern ("Doen Diagnostics")n hasn requested n an substantialn payment nfornan largen numbern of n members.
n Manyn of n thesen claimsn aren forn ancertainn procedure.n Younreview n thensamen typenof nprocedurenforn othe
rn diagnosticn providersn and nrealizen that nDoenDiagnostics'n claimsn farn exceednanyn othern providernthatny
oun reviewed.n What n don youn do?
A.n Calln Doen Diagnosticsn and n request n additionaln informationn forn then claims
B.n Consult n withn yourn immediaten supervisorn orn Compliancen Department n forn next n steps
C.n Reject n then claims
D.n Payn then claims
Answer:
B.n Consult n withnyourn immediatensupervisorn forn next nstepsn orncontact nthencompliancen department n (vi
an compliancen hotline,n Specialn Investigationsn Unit n [SIU],n orn othern mechanism).
Youn don notnwant ntoncontactn thenprovider.n Thisn mayn jeopardizen anninvestigation.n Norndonyounwantn to
n payn orn reject n then claimsn untiln furthern discussionsn withn yourn supervisorn orn thencompliancen departme
nt n haven occurred,n includingn whethern additionaln documentationn isn necessary.
QUESTION
Related n ton Corporaten IntegritynAgreementsn withnthengovernment,nwhatn isnann IROn andnwhat naren thend
etailsn of n how n it n works?n Choosen 2n answers.
a. Independent n Reorganizationn Operation.
b. Theyn don then auditingn required n byn an CIA.
c. Then OIG n hiresn them.
d. Theyn need n ton ben fairn and n unbiased n and n can't n haven an financialn relationshipn withn then hospital.
Answer:
b.n Theyn don then auditingn required n byn an CIA.
d.n Theyn need n ton ben fairn and n unbiased n and n can't n haven an financialn relationshipn withn then hospital.
Explanation:n IROsn need nton meet ncriterian andnfollow nthenAICPA nandnSECn guidancen (unbiased n judge
ment,n honest n neutrality,n and n demonstraten independencen amongn othern requirements)
, QUESTION
What n should n CCOn ben ablen ton do?n (What n skillsn should n thisn personn have?)n Choosen alln that n apply.
a. Leadershipn skills.
b. Overseen then codingn department.
c. Skillsn ton designn and n implement n an compliancen program.
d. Ben ablen ton anticipaten new n riskn areas.
e. Practicaln experiencen withn documentingn medicaln necessity.
Answer:
a. c.n d.
QUESTION
Related n tonLegaln Doctrinesn fornProtectionn fromn Disclosuren ton protectn certainn documentsn duringn t
hen coursen of n discovery.
What n isn then workn product n doctrine?
a. Ensuresn that n attorneyn documentationn isn accessiblen ton then hospital.
b. Ensuresn that n attorneyn documentationn isn accessiblen ton then OIG.
c. Protectsn attorneyn documentsn that n weren prepared n forn litigationn purposes.
d. Allowsn then hospitaln ton protect n documentsn sent n ton then attorney.
Answer:
c.n Protectsn attorneyn documentsn that n weren prepared n forn litigationn purposes.
Differsn fromn attorney-
client n privilegen (ACP)n inn that n it n protectsn onlyn documentsn fromn discoveryn includingn interviews,n me
mos,n correspondence,n notesn and n briefs,n whichn evidencen "mentaln impressions,n conclusions,n opinion
sn orn legaln theoriesn of n anyn attorney.
Documentsn must n haven beenn prepared ninn anticipationn of nlitigationn orninn anticipationn of n an disclosuren t
on then government.
QUESTION
An commonn reportingn system,n administered n innhousen ornbynoutsiden consultants,n givingn anonymousn t
elephonen accessn ton employeesn seekingn ton report n possiblen instancesn of n wrongdoing
Answer:
Hotlinen orn Helpline
