CHPC Practice Test Questions 2026 with all Correct & 100%
Verified Answers |Actual Complete Exam| Already Graded A+
1. Organizations receiving more than $5 million in Medic- Deficit
Reduction Act
aid funds must provide education on the False
Claims Act in accordance with the .
2. Corporate integrity agreements are OIG and the health care
negotiated pri- marily between the entity
3. A hotline caller states the coding department C- Design a review to
was in- structed to code based on LCD find facts and
requirements regard- less of medical record circumstances related
information. Which of the fol- lowing should be to the compliant
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 re- lated to the compliant
d. engage outside counsel to protect the
underlying facts from discovery
4. A compliance professional identified an issue
with medical necessity. The compliance case manager
professional should collaborate with the:
a. case manager
b. billing clerk
c. documentation specialist
d. patient account representative
5. When non-compliance is substantiated,
disciplinary action should be administered in a consistent manner
a. within 30 days
1/
44
, CHPC Practice Test Questions 2026 with all Correct & 100%
Verified Answers |Actual Complete Exam| Already Graded A+
b. if intent is proven
c. in a consistent manner
d. after completion of corrective action
6. In development of the annual work plan, Conduct a probe sample
physician contract compliance was prioritized
as a high-risk area. When the compliance
professional followed up with management, it
appeared that the monitoring identi- fied 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
Did you ever observe
7. Which of the following is the BEST question to any- thing that made
include in an employee exit interview? you feel
uncomfortable?
8. A compliance professional is conducting a A) financial error
policy re- view. Which of the following rate ex- ceeds 5% with
procedures MUST be in- a refund to
cluded in the policy for statistically valid sampling and occur within
60 days
extrapolation?
a. financial error rate exceeds 5% with a
refund to occur within 60 days
b. financial error rate exceeds 5% with a
refund to occur within 90 days
2/
44
, CHPC Practice Test Questions 2026 with all Correct & 100%
Verified Answers |Actual Complete Exam| Already Graded A+
c. coding error rate exceeds 5% with a refund to
occur within 60 days
d. coding error rate exceeds 5% with a refund to
occur within 90 days
3/
44
, CHPC Practice Test Questions 2026 with all Correct & 100%
Verified Answers |Actual Complete Exam| Already Graded A+
9. Incentive programs based on employee patient satisfaction
performance may be tied to increases in
a. the case mix index
b. CPT/DRG codes
c. patient referrals
d. patient satisfaction
10. A preliminary investigation identified Determine if
payments to physicians for medical medicare payments
directorships without written contracts. Which were received
of the following should be the com- pliance
professionals NEXT step?
11. An organization identifies a potential issue Anti-Kickback Safe
when re- viewing personal services and harbors
management contracts. Which of the following
should the compliance profes- sional
consider in analyzing the issue?
12. In an investigation, the MOST important responsibility assure
independence in
of the compliance professional is to all investigations
13. A compliance professional discovers non- Conduct a baseline
compliance with a regulation. Which of the
following should the compliance professional audit
do FIRST?
14. A record retention policy must be based on applicable state laws
15. Training is scheduled for employees to learn is an
about cost reporting risks. This type of training example of
4/
44
Verified Answers |Actual Complete Exam| Already Graded A+
1. Organizations receiving more than $5 million in Medic- Deficit
Reduction Act
aid funds must provide education on the False
Claims Act in accordance with the .
2. Corporate integrity agreements are OIG and the health care
negotiated pri- marily between the entity
3. A hotline caller states the coding department C- Design a review to
was in- structed to code based on LCD find facts and
requirements regard- less of medical record circumstances related
information. Which of the fol- lowing should be to the compliant
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 re- lated to the compliant
d. engage outside counsel to protect the
underlying facts from discovery
4. A compliance professional identified an issue
with medical necessity. The compliance case manager
professional should collaborate with the:
a. case manager
b. billing clerk
c. documentation specialist
d. patient account representative
5. When non-compliance is substantiated,
disciplinary action should be administered in a consistent manner
a. within 30 days
1/
44
, CHPC Practice Test Questions 2026 with all Correct & 100%
Verified Answers |Actual Complete Exam| Already Graded A+
b. if intent is proven
c. in a consistent manner
d. after completion of corrective action
6. In development of the annual work plan, Conduct a probe sample
physician contract compliance was prioritized
as a high-risk area. When the compliance
professional followed up with management, it
appeared that the monitoring identi- fied 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
Did you ever observe
7. Which of the following is the BEST question to any- thing that made
include in an employee exit interview? you feel
uncomfortable?
8. A compliance professional is conducting a A) financial error
policy re- view. Which of the following rate ex- ceeds 5% with
procedures MUST be in- a refund to
cluded in the policy for statistically valid sampling and occur within
60 days
extrapolation?
a. financial error rate exceeds 5% with a
refund to occur within 60 days
b. financial error rate exceeds 5% with a
refund to occur within 90 days
2/
44
, CHPC Practice Test Questions 2026 with all Correct & 100%
Verified Answers |Actual Complete Exam| Already Graded A+
c. coding error rate exceeds 5% with a refund to
occur within 60 days
d. coding error rate exceeds 5% with a refund to
occur within 90 days
3/
44
, CHPC Practice Test Questions 2026 with all Correct & 100%
Verified Answers |Actual Complete Exam| Already Graded A+
9. Incentive programs based on employee patient satisfaction
performance may be tied to increases in
a. the case mix index
b. CPT/DRG codes
c. patient referrals
d. patient satisfaction
10. A preliminary investigation identified Determine if
payments to physicians for medical medicare payments
directorships without written contracts. Which were received
of the following should be the com- pliance
professionals NEXT step?
11. An organization identifies a potential issue Anti-Kickback Safe
when re- viewing personal services and harbors
management contracts. Which of the following
should the compliance profes- sional
consider in analyzing the issue?
12. In an investigation, the MOST important responsibility assure
independence in
of the compliance professional is to all investigations
13. A compliance professional discovers non- Conduct a baseline
compliance with a regulation. Which of the
following should the compliance professional audit
do FIRST?
14. A record retention policy must be based on applicable state laws
15. Training is scheduled for employees to learn is an
about cost reporting risks. This type of training example of
4/
44
