HCCA Certification Exam 2026/2027 |
Health Care Compliance Association
Certification Exam with Complete
Questions & Verified Answers | Latest
Version
HCCA Certification (CHC) Practice Exam
2026/2027
Health Care Compliance Association — Professional Practice Questions
1. What is the primary purpose of a compliance program in a health care
organization?
✅
A. Increase revenue
B. Ensure adherence to laws, regulations, and ethical standards
C. Improve marketing outcomes
D. Develop clinical procedures
Solution:
Compliance programs are designed to detect, prevent, and correct violations of law or policy
and promote ethical conduct.
2. Which federal law requires certain health care providers to implement
compliance programs?
,A. HIPAA
B. Affordable Care Act
✅
C. False Claims Act
D. OIG Compliance Program Guidance (not a statute but regulatory guidance used widely)
Solution:
While no single statute universally mandates compliance programs for all providers, OIG
guidance establishes expectations and is considered de facto requirement.
3. What does “due diligence” refer to in a compliance context?
✅
A. Hiring external auditors
B. Taking reasonable steps to prevent and detect non-compliance
C. Reducing patient wait times
D. Marketing compliance services
Solution:
Due diligence means proactive efforts to identify and mitigate risks.
4. Which element is a required part of an effective compliance program
according to OIG guidance?
✅
A. Financial incentives only
B. Compliance officer and committee
C. Marketing plan
D. Patient satisfaction surveys
Solution:
OIG lists seven elements; one is appointing a compliance officer and committee.
5. What law protects employees who report compliance violations?
A. FMLA
✅
B. OSHA Whistleblower protections
C. False Claims Act (qui tam provisions)
D. HIPAA Privacy Rule
, Solution:
The FCA allows whistleblowers to sue on behalf of the government and protects them from
retaliation.
6. Which act prohibits the exchange of anything of value to induce
referrals?
✅
A. Stark Law
B. Anti-Kickback Statute (AKS)
C. HIPAA
D. False Claims Act
Solution:
AKS criminalizes remuneration for referrals of items or services payable by federal health care
programs.
7. Stark Law primarily governs:
✅
A. Patient privacy
B. Self-referral by physicians for designated health services
C. Fraud penalties
D. Workplace safety
Solution:
Stark (Physician Self-Referral Law) prohibits certain referrals to entities in which the physician
has a financial interest.
8. TheHIPAA Privacy Rule protects:
✅
A. Credit card data
B. Protected Health Information (PHI)
C. Employee performance reviews
D. Marketing plans
Solution:
HIPAA Privacy Rule safeguards PHI held by covered entities and business associates.
Health Care Compliance Association
Certification Exam with Complete
Questions & Verified Answers | Latest
Version
HCCA Certification (CHC) Practice Exam
2026/2027
Health Care Compliance Association — Professional Practice Questions
1. What is the primary purpose of a compliance program in a health care
organization?
✅
A. Increase revenue
B. Ensure adherence to laws, regulations, and ethical standards
C. Improve marketing outcomes
D. Develop clinical procedures
Solution:
Compliance programs are designed to detect, prevent, and correct violations of law or policy
and promote ethical conduct.
2. Which federal law requires certain health care providers to implement
compliance programs?
,A. HIPAA
B. Affordable Care Act
✅
C. False Claims Act
D. OIG Compliance Program Guidance (not a statute but regulatory guidance used widely)
Solution:
While no single statute universally mandates compliance programs for all providers, OIG
guidance establishes expectations and is considered de facto requirement.
3. What does “due diligence” refer to in a compliance context?
✅
A. Hiring external auditors
B. Taking reasonable steps to prevent and detect non-compliance
C. Reducing patient wait times
D. Marketing compliance services
Solution:
Due diligence means proactive efforts to identify and mitigate risks.
4. Which element is a required part of an effective compliance program
according to OIG guidance?
✅
A. Financial incentives only
B. Compliance officer and committee
C. Marketing plan
D. Patient satisfaction surveys
Solution:
OIG lists seven elements; one is appointing a compliance officer and committee.
5. What law protects employees who report compliance violations?
A. FMLA
✅
B. OSHA Whistleblower protections
C. False Claims Act (qui tam provisions)
D. HIPAA Privacy Rule
, Solution:
The FCA allows whistleblowers to sue on behalf of the government and protects them from
retaliation.
6. Which act prohibits the exchange of anything of value to induce
referrals?
✅
A. Stark Law
B. Anti-Kickback Statute (AKS)
C. HIPAA
D. False Claims Act
Solution:
AKS criminalizes remuneration for referrals of items or services payable by federal health care
programs.
7. Stark Law primarily governs:
✅
A. Patient privacy
B. Self-referral by physicians for designated health services
C. Fraud penalties
D. Workplace safety
Solution:
Stark (Physician Self-Referral Law) prohibits certain referrals to entities in which the physician
has a financial interest.
8. TheHIPAA Privacy Rule protects:
✅
A. Credit card data
B. Protected Health Information (PHI)
C. Employee performance reviews
D. Marketing plans
Solution:
HIPAA Privacy Rule safeguards PHI held by covered entities and business associates.
