HCCA - CHC STUDY QUESTIONS NEWEST ACTUAL EXAM
HCCA - CHC STUDY QUESTIONS NEWEST ACTUAL EXAM
COMPLETE 450 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
VERSION!!
Can physicians offer cash discounts?
a. yes, always!
b. never
c. it depends
c. it depends
Explanation:
Concierge practices that accept only cash (out-of-packet) patients and typically
require a retainer may be exempt from limitations. Cash pay discount can also be
allowed for non-insured patients that are not eligible for, or is not entitled to,
insurance reimbursement or coverage.
However, offering discounts for cash payments may violate any contract between
a payer and provider since it impacts the payer's negotiated rates. Therefore,
physicians should determine if there are any contractual limits to offering such
discounts. State laws may also place restrictions on providing discounts. In any
event, if a physician provides any type of discounts, they should have a written
policy in place that is followed uniformly.
Ref. from 1st HC Compliance
How should an organization handle an employee who refuses to sign a code of
conduct or complete assigned compliance training?
a. Ignore them
b. Follow policy
c. Terminate them immediately
1|Page
, HCCA - CHC STUDY QUESTIONS NEWEST ACTUAL EXAM
b. Follow policy
Explanation:
Compliance should be a condition of employment. The organization's Code of
Conduct should require employees to complete compliance training. Employers
may wish to enforce their training requirements through discipline and a
progressive disciplinary policy is recommended. It is also important to be
consistent in meeting out discipline so as not to run afoul of discrimination laws.
Remember, discipline must be fair - equitable - consistent!
Ref. from 1st HC Compliance
How should an organization handle an error in spelling of a patient's name on the
medical record?
a. Ask the patient for guidance
b. Amend the record
c. Create a new record
b. Amend the record
Explanation:
This common issue involves maintaining integrity of the medical record and
patient safety. Ideally, your EHR will provide the ability to amend and track the
correction of the individual's identity without losing other important notes. The
date, time, reason for the change and the person making the change should be
recorded/stamped within the record.
Ref. from 1st HC Compliance
Is it okay to send X-rays to specialists when referring patients if our email is not
encrypted?
a. Always
b. Never
c. It depends
c. It depends
2|Page
, HCCA - CHC STUDY QUESTIONS NEWEST ACTUAL EXAM
Explanation:
Encryption is strongly recommended as the best practice. If the individual is
requesting PHI in the form of X-rays be sent to the third party and the individual is
notified prior to sending via unencrypted email and the individual agrees to
sending via unencrypted email, this is permitted under HIPAA . HHS provides clear
guidance on sending PHI in an e-mail . Please remember that state laws may apply
as well.
Ref. from 1st HC Compliance
Which of the following statements is true regarding Attorney-Client Privilege?
a. It can be applied to employees, former employees, consultants and public
healthcare providers.
b. It applies to documents that were created prior to an investigation with an
attorney.
c. It protects disclosures by a client to an attorney as well as the attorney's advice
to the client.
d. It applies to the underlying facts of the communications.
c. It protects disclosures by a client to an attorney as well as the attorney's advice
to the client.
Explanation: Privilege is a two way street. Both attorney and client
communications are protected.
The billing manager was conducting a contemporaneous review and found what
could be a significant error. The billing manager contacts you and you then
subsequently contact your in-house legal counsel. Which of the following
statements are False?
a. Because of the False Claims Act, your in-house counsel advises you that the
retrospective audit will need to cover a minimum of 6 years to a maximum of 10
years.
b. If you do not refund the Medicare overpayments, you could be charged with a
federal felony under the Social Security Act.
c. A contemporaneous review that was done by the billing manager would be
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, HCCA - CHC STUDY QUESTIONS NEWEST ACTUAL EXAM
covered under the attorney-client privilege.
d. You are asked to perform a statistical sample of the population. You need to
know that a larger sample size will be required if the variation in the errors is
larger.
c. A contemporaneous review that was done by the billing manager would be
covered under the attorney-client privilege.
Explanation: A significant limitation of the definition of protected communications
relates to documents that are prepared by the client prior to the time when the
attorney began preparations to give advice.
Ref. Healthcare Compliance Professional's Manual
What types of gifts or favors are acceptable under the Code of
Conduct?
a. A $100 gift card from a vendor to influence you to form an
agreement that involves buying certain products
b. Receiving a coffee mug with your facility's logo on it
c. Free tickets to Hawaii from a company in exchange for
buying products from them
d. A tip from a family to ensure their loved one receives
"special care"
b. Receiving a coffee mug with your facility's logo on it
Which of the following is not a form of ethical behavior?
Deception
Loyalty
Fairness
Competition
Deception
In case you become aware that the person has been bribed to
make a choice, what would you do?
a. Make him give you half the money
4|Page
HCCA - CHC STUDY QUESTIONS NEWEST ACTUAL EXAM
COMPLETE 450 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
VERSION!!
Can physicians offer cash discounts?
a. yes, always!
b. never
c. it depends
c. it depends
Explanation:
Concierge practices that accept only cash (out-of-packet) patients and typically
require a retainer may be exempt from limitations. Cash pay discount can also be
allowed for non-insured patients that are not eligible for, or is not entitled to,
insurance reimbursement or coverage.
However, offering discounts for cash payments may violate any contract between
a payer and provider since it impacts the payer's negotiated rates. Therefore,
physicians should determine if there are any contractual limits to offering such
discounts. State laws may also place restrictions on providing discounts. In any
event, if a physician provides any type of discounts, they should have a written
policy in place that is followed uniformly.
Ref. from 1st HC Compliance
How should an organization handle an employee who refuses to sign a code of
conduct or complete assigned compliance training?
a. Ignore them
b. Follow policy
c. Terminate them immediately
1|Page
, HCCA - CHC STUDY QUESTIONS NEWEST ACTUAL EXAM
b. Follow policy
Explanation:
Compliance should be a condition of employment. The organization's Code of
Conduct should require employees to complete compliance training. Employers
may wish to enforce their training requirements through discipline and a
progressive disciplinary policy is recommended. It is also important to be
consistent in meeting out discipline so as not to run afoul of discrimination laws.
Remember, discipline must be fair - equitable - consistent!
Ref. from 1st HC Compliance
How should an organization handle an error in spelling of a patient's name on the
medical record?
a. Ask the patient for guidance
b. Amend the record
c. Create a new record
b. Amend the record
Explanation:
This common issue involves maintaining integrity of the medical record and
patient safety. Ideally, your EHR will provide the ability to amend and track the
correction of the individual's identity without losing other important notes. The
date, time, reason for the change and the person making the change should be
recorded/stamped within the record.
Ref. from 1st HC Compliance
Is it okay to send X-rays to specialists when referring patients if our email is not
encrypted?
a. Always
b. Never
c. It depends
c. It depends
2|Page
, HCCA - CHC STUDY QUESTIONS NEWEST ACTUAL EXAM
Explanation:
Encryption is strongly recommended as the best practice. If the individual is
requesting PHI in the form of X-rays be sent to the third party and the individual is
notified prior to sending via unencrypted email and the individual agrees to
sending via unencrypted email, this is permitted under HIPAA . HHS provides clear
guidance on sending PHI in an e-mail . Please remember that state laws may apply
as well.
Ref. from 1st HC Compliance
Which of the following statements is true regarding Attorney-Client Privilege?
a. It can be applied to employees, former employees, consultants and public
healthcare providers.
b. It applies to documents that were created prior to an investigation with an
attorney.
c. It protects disclosures by a client to an attorney as well as the attorney's advice
to the client.
d. It applies to the underlying facts of the communications.
c. It protects disclosures by a client to an attorney as well as the attorney's advice
to the client.
Explanation: Privilege is a two way street. Both attorney and client
communications are protected.
The billing manager was conducting a contemporaneous review and found what
could be a significant error. The billing manager contacts you and you then
subsequently contact your in-house legal counsel. Which of the following
statements are False?
a. Because of the False Claims Act, your in-house counsel advises you that the
retrospective audit will need to cover a minimum of 6 years to a maximum of 10
years.
b. If you do not refund the Medicare overpayments, you could be charged with a
federal felony under the Social Security Act.
c. A contemporaneous review that was done by the billing manager would be
3|Page
, HCCA - CHC STUDY QUESTIONS NEWEST ACTUAL EXAM
covered under the attorney-client privilege.
d. You are asked to perform a statistical sample of the population. You need to
know that a larger sample size will be required if the variation in the errors is
larger.
c. A contemporaneous review that was done by the billing manager would be
covered under the attorney-client privilege.
Explanation: A significant limitation of the definition of protected communications
relates to documents that are prepared by the client prior to the time when the
attorney began preparations to give advice.
Ref. Healthcare Compliance Professional's Manual
What types of gifts or favors are acceptable under the Code of
Conduct?
a. A $100 gift card from a vendor to influence you to form an
agreement that involves buying certain products
b. Receiving a coffee mug with your facility's logo on it
c. Free tickets to Hawaii from a company in exchange for
buying products from them
d. A tip from a family to ensure their loved one receives
"special care"
b. Receiving a coffee mug with your facility's logo on it
Which of the following is not a form of ethical behavior?
Deception
Loyalty
Fairness
Competition
Deception
In case you become aware that the person has been bribed to
make a choice, what would you do?
a. Make him give you half the money
4|Page
