5/25/25, 8:42 AM HCA Certification Training
HCA Certification Training\LATEST VERSION
\\COMPLETE QUESTIONS AND ACCURATE
ANSWERS (VERIFIED ANSWERS ) RATED A+
True or False: True
The ACA requires that all
providers adopt a
compliance plan as a
condition of enrollment
with Medicare, Medicaid,
and Children's Health
Insurance Program (CHIP).
According to HHS-OIG - 1. Protect our programs
what are three important 2. Protect your patients
reasons for proper 3. Protect the Provider
documentation in
Compliance?
1. Protect our ___________________
2. Protect your
___________________
3. Protect the
___________________
1/65
,5/25/25, 8:42 AM HCA Certification Training
At which level of the c. third level of appeal
Medicare Part A or Part B
appeals process is the
appeal decision by the
Office of Medicare
Hearings and Appeals
(OMHA)?
a. first level of appeal
b. second level of appeal
c. third level of appeal
d. fourth level of appeal
What should CCO be able a. Leadership skills, c. Skills to design and implement a
to do? (What skills should compliance program, and d. Be able to anticipate new
this person have?) risk areas.
Choose all that apply:
a. Leadership skills.
b. Oversee the coding
department.
c. Skills to design and
implement a compliance
program.
d. Be able to anticipate
new risk areas.
e. Practical experience
with documenting medical
necessity.
2/65
,5/25/25, 8:42 AM HCA Certification Training
What is the appeals Frist level - redetermination by Medicare contractor
process is the appeal Second level - reconsideration by Independent
decision by the Office of contractor
Medicare Hearings and Third appeal - Administrative Law Judge (ALJ) hearing
Appeals (OMHA)? Fourth appeal - review by Medicare Appeals Council
Fifth appeal - review in Federal District Court
Frist level -
_________________________
Second level -
_________________________
Third appeal -
_________________________
Fourth appeal -
_________________________
Fifth appeal -
_________________________
Which of the following is c. non-retaliation for whistleblowers
an absolute necessity in
order to have a successful
Compliance Program?
a. continuous training and
improvements
b. effective reporting path
c. non-retaliation for
whistleblowers
d. reliable and equal
discipline
3/65
, 5/25/25, 8:42 AM HCA Certification Training
A Compliance Program d. will not be successful without the proper oversight
with well written policies
and procedures:
a. can be successful if
consistently reviewed and
maintained
b. cannot be effective due
to the sheer volume
presented
c. will be effective if read
by management
d. will not be successful
without the proper
oversight
A Compliance Officer can b. increasing management involvement
achieve a higher level of
compliance and ethics
engagement by:
a. ensuring leadership
reads the policies
b. increasing management
involvement
c. responding to
compliance hotline calls
d. monitoring the code of
conduct
4/65
HCA Certification Training\LATEST VERSION
\\COMPLETE QUESTIONS AND ACCURATE
ANSWERS (VERIFIED ANSWERS ) RATED A+
True or False: True
The ACA requires that all
providers adopt a
compliance plan as a
condition of enrollment
with Medicare, Medicaid,
and Children's Health
Insurance Program (CHIP).
According to HHS-OIG - 1. Protect our programs
what are three important 2. Protect your patients
reasons for proper 3. Protect the Provider
documentation in
Compliance?
1. Protect our ___________________
2. Protect your
___________________
3. Protect the
___________________
1/65
,5/25/25, 8:42 AM HCA Certification Training
At which level of the c. third level of appeal
Medicare Part A or Part B
appeals process is the
appeal decision by the
Office of Medicare
Hearings and Appeals
(OMHA)?
a. first level of appeal
b. second level of appeal
c. third level of appeal
d. fourth level of appeal
What should CCO be able a. Leadership skills, c. Skills to design and implement a
to do? (What skills should compliance program, and d. Be able to anticipate new
this person have?) risk areas.
Choose all that apply:
a. Leadership skills.
b. Oversee the coding
department.
c. Skills to design and
implement a compliance
program.
d. Be able to anticipate
new risk areas.
e. Practical experience
with documenting medical
necessity.
2/65
,5/25/25, 8:42 AM HCA Certification Training
What is the appeals Frist level - redetermination by Medicare contractor
process is the appeal Second level - reconsideration by Independent
decision by the Office of contractor
Medicare Hearings and Third appeal - Administrative Law Judge (ALJ) hearing
Appeals (OMHA)? Fourth appeal - review by Medicare Appeals Council
Fifth appeal - review in Federal District Court
Frist level -
_________________________
Second level -
_________________________
Third appeal -
_________________________
Fourth appeal -
_________________________
Fifth appeal -
_________________________
Which of the following is c. non-retaliation for whistleblowers
an absolute necessity in
order to have a successful
Compliance Program?
a. continuous training and
improvements
b. effective reporting path
c. non-retaliation for
whistleblowers
d. reliable and equal
discipline
3/65
, 5/25/25, 8:42 AM HCA Certification Training
A Compliance Program d. will not be successful without the proper oversight
with well written policies
and procedures:
a. can be successful if
consistently reviewed and
maintained
b. cannot be effective due
to the sheer volume
presented
c. will be effective if read
by management
d. will not be successful
without the proper
oversight
A Compliance Officer can b. increasing management involvement
achieve a higher level of
compliance and ethics
engagement by:
a. ensuring leadership
reads the policies
b. increasing management
involvement
c. responding to
compliance hotline calls
d. monitoring the code of
conduct
4/65
