HCCA CHC EXAM NEWEST 2026 ACTUAL EXAM TEST
BANK| HCCA CERTIFIED HEALTHCARE COMPLIANCE
AND PRIVACY CREDENTIAL EXAM PREP WITH
COMPLETE 800 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ (MOST RECENT!!)
1. Which of the following is one of the seven core elements of
an effective compliance program according to OIG guidance?
A) Mandatory minimum fines for violations
B) Designation of a compliance officer and compliance committee
C) Elimination of all physician referral relationships
D) Quarterly external audits only
Answer: B) Designation of a compliance officer and compliance
committee
Rationale: The OIG's seven core elements include written policies,
a compliance officer and committee, training, communication lines,
auditing and monitoring, disciplinary guidelines, and prompt
corrective action.
2. What is the role of the Board of Directors in compliance
oversight?
1
,A) No role; compliance is solely a management function
B) Conducting all internal audits personally
C) Exercising fiduciary responsibility by overseeing the compliance
program's effectiveness
D) Handling all hotline calls directly
Answer: C) Exercising fiduciary responsibility by overseeing the
compliance program's effectiveness
Rationale: The Board has fiduciary responsibility to oversee the
compliance program, ensure adequate resources, review reports,
and hold leadership accountable for effectiveness.
3. Which two main documents become tools to build a
compliance program?
A) Marketing plan and budget
B) Code of Conduct and Policies & Procedures
C) Employee handbook and payroll records
D) Strategic plan and mission statement
Answer: B) Code of Conduct and Policies & Procedures
Rationale: The Code of Conduct establishes organizational values
and ethical expectations, while Policies & Procedures provide
specific guidance on compliance requirements.
2
,4. A compliance committee should include:
A) Only external auditors
B) Representatives from key departments (e.g., legal, audit, HR,
clinical operations)
C) Only senior executives
D) Only members from outside the organization
Answer: B) Representatives from key departments (e.g., legal,
audit, HR, clinical operations)
Rationale: An effective compliance committee includes cross-
functional representation to ensure diverse perspectives and
comprehensive program oversight.
5. What should the Chief Compliance Officer (CCO) be able to
do? (Select 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
Answer: C) Skills to design and implement a compliance program,
and D) Be able to anticipate new risk areas
Rationale: The CCO must have program design skills and
forward-looking risk anticipation abilities.
3
, 6. The U.S. Federal Sentencing Commission was organized in
____, published its initial set of guidelines in ____, and
included chapter eight of the Federal Sentencing Guidelines for
Organizations (FSGO) in ____.
A) 1980, 1982, 1985
B) 1985, 1987, 1991
C) 1990, 1992, 1995
D) 1975, 1977, 1980
Answer: B) 1985, 1987, 1991
Rationale: The FSGO Chapter 8 established guidelines for
organizational compliance programs, incentivizing effective
compliance through reduced penalties.
7. 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).
A) True
B) False
Answer: A) True
Rationale: ACA section 6102 requires providers to adopt
compliance programs as a condition of participation in federal
healthcare programs.
4
BANK| HCCA CERTIFIED HEALTHCARE COMPLIANCE
AND PRIVACY CREDENTIAL EXAM PREP WITH
COMPLETE 800 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ (MOST RECENT!!)
1. Which of the following is one of the seven core elements of
an effective compliance program according to OIG guidance?
A) Mandatory minimum fines for violations
B) Designation of a compliance officer and compliance committee
C) Elimination of all physician referral relationships
D) Quarterly external audits only
Answer: B) Designation of a compliance officer and compliance
committee
Rationale: The OIG's seven core elements include written policies,
a compliance officer and committee, training, communication lines,
auditing and monitoring, disciplinary guidelines, and prompt
corrective action.
2. What is the role of the Board of Directors in compliance
oversight?
1
,A) No role; compliance is solely a management function
B) Conducting all internal audits personally
C) Exercising fiduciary responsibility by overseeing the compliance
program's effectiveness
D) Handling all hotline calls directly
Answer: C) Exercising fiduciary responsibility by overseeing the
compliance program's effectiveness
Rationale: The Board has fiduciary responsibility to oversee the
compliance program, ensure adequate resources, review reports,
and hold leadership accountable for effectiveness.
3. Which two main documents become tools to build a
compliance program?
A) Marketing plan and budget
B) Code of Conduct and Policies & Procedures
C) Employee handbook and payroll records
D) Strategic plan and mission statement
Answer: B) Code of Conduct and Policies & Procedures
Rationale: The Code of Conduct establishes organizational values
and ethical expectations, while Policies & Procedures provide
specific guidance on compliance requirements.
2
,4. A compliance committee should include:
A) Only external auditors
B) Representatives from key departments (e.g., legal, audit, HR,
clinical operations)
C) Only senior executives
D) Only members from outside the organization
Answer: B) Representatives from key departments (e.g., legal,
audit, HR, clinical operations)
Rationale: An effective compliance committee includes cross-
functional representation to ensure diverse perspectives and
comprehensive program oversight.
5. What should the Chief Compliance Officer (CCO) be able to
do? (Select 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
Answer: C) Skills to design and implement a compliance program,
and D) Be able to anticipate new risk areas
Rationale: The CCO must have program design skills and
forward-looking risk anticipation abilities.
3
, 6. The U.S. Federal Sentencing Commission was organized in
____, published its initial set of guidelines in ____, and
included chapter eight of the Federal Sentencing Guidelines for
Organizations (FSGO) in ____.
A) 1980, 1982, 1985
B) 1985, 1987, 1991
C) 1990, 1992, 1995
D) 1975, 1977, 1980
Answer: B) 1985, 1987, 1991
Rationale: The FSGO Chapter 8 established guidelines for
organizational compliance programs, incentivizing effective
compliance through reduced penalties.
7. 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).
A) True
B) False
Answer: A) True
Rationale: ACA section 6102 requires providers to adopt
compliance programs as a condition of participation in federal
healthcare programs.
4
