HCCA CHC/CHPC COMPLIANCE EXAM
STUDY TESTBANK ALL 1000+ QUESTIONS
AND ANSWERS LATEST UPDATE THIS
YEAR - JUST RELEASED with 100 %
Verified
What should CCO be able to do? (What skills should this person have?) 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.
True or False:
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).
,Ans: a. Leadership skills,
c. Skills to design and implement a compliance program, and
d. Be able to anticipate new risk areas.
True
ref. ACA section 6102
Quiz According to HHS-OIG - what are three important reasons for proper documentation in
Compliance? (hint: protections)
Ans: 1.Protect our programs
2.Protect your patients
3.Protect the Provider
https://oig.hhs.gov/newsroom/podcasts/2011/heat/heat09-
trans.asp#:~:text=Proper%20documentation%2C%20both%20in%20patients,to%20protect%20
you%20the%20provider.
Quiz At which level of the 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
,Ans: c. . third level of appeal
Frist level - redetermination by Medicare contractor
Second level - reconsideration by Independent contractor
Third appeal - Administrative Law Judge (ALJ) hearing
Fourth appeal - review by Medicare Appeals Council
Fifth appeal - review in Federal District Court
https://www.hhs.gov/about/agencies/omha/the-appeals-process/index.html
Quiz What should CCO be able to do? (What skills should this person have?) 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.
Ans: a. Leadership skills,
c. Skills to design and implement a compliance program, and
d. Be able to anticipate new risk areas.
Quiz Which of the following is 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
Ans: c. non-retaliation for whistleblowers
Quiz A Compliance Program 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
Ans: d. will not be successful without the proper oversight
Regardless of having the best written policies in place that are reviewed/maintained
consistently, and read and disseminated accordingly, will fail if there is no proper oversight to
ensure they are actually being followed and understood.
Quiz A Compliance Officer can 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
Ans: b. increasing management involvement.
STUDY TESTBANK ALL 1000+ QUESTIONS
AND ANSWERS LATEST UPDATE THIS
YEAR - JUST RELEASED with 100 %
Verified
What should CCO be able to do? (What skills should this person have?) 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.
True or False:
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).
,Ans: a. Leadership skills,
c. Skills to design and implement a compliance program, and
d. Be able to anticipate new risk areas.
True
ref. ACA section 6102
Quiz According to HHS-OIG - what are three important reasons for proper documentation in
Compliance? (hint: protections)
Ans: 1.Protect our programs
2.Protect your patients
3.Protect the Provider
https://oig.hhs.gov/newsroom/podcasts/2011/heat/heat09-
trans.asp#:~:text=Proper%20documentation%2C%20both%20in%20patients,to%20protect%20
you%20the%20provider.
Quiz At which level of the 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
,Ans: c. . third level of appeal
Frist level - redetermination by Medicare contractor
Second level - reconsideration by Independent contractor
Third appeal - Administrative Law Judge (ALJ) hearing
Fourth appeal - review by Medicare Appeals Council
Fifth appeal - review in Federal District Court
https://www.hhs.gov/about/agencies/omha/the-appeals-process/index.html
Quiz What should CCO be able to do? (What skills should this person have?) 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.
Ans: a. Leadership skills,
c. Skills to design and implement a compliance program, and
d. Be able to anticipate new risk areas.
Quiz Which of the following is 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
Ans: c. non-retaliation for whistleblowers
Quiz A Compliance Program 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
Ans: d. will not be successful without the proper oversight
Regardless of having the best written policies in place that are reviewed/maintained
consistently, and read and disseminated accordingly, will fail if there is no proper oversight to
ensure they are actually being followed and understood.
Quiz A Compliance Officer can 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
Ans: b. increasing management involvement.
