HCCA CHC/CHPC Compliance
Exam – Complete Practice Test
Bank (2026 Update)
This comprehensive study guide is designed for candidates
preparing for the Health Care Compliance Association (HCCA)
Certified in Healthcare Compliance (CHC) and Certified in
Healthcare Privacy Compliance (CHPC) certification exams. The
questions reflect the latest 2026 exam content, covering core
domains including healthcare laws and regulations, compliance
program elements, risk assessment, auditing, privacy and security,
billing and coding standards, and enforcement actions.
EXAM OVERVIEW
Category Details
Certifications CHC (Certified in
Healthcare
Compliance) & CHPC
(Certified in Healthcare
Privacy Compliance)
Issuing Body Health Care
Compliance
Association (HCCA)
,Key Domains Healthcare Laws &
Regulations (HIPAA,
FCA, Stark, AKS),
Compliance Program
Elements (7 Steps),
Risk Assessment &
Auditing, Privacy &
Security (HITECH),
Billing & Coding
Standards, Research
Compliance,
Enforcement Actions,
and Ethical
Decision-Making
Question Multiple-choice,
Format scenario-based,
practical application
SECTION 1: FRAUD, WASTE & ABUSE LAWS
(Questions 1-15)
Question 1
Which federal law prohibits knowingly submitting false or
fraudulent claims to government healthcare programs?
A) Stark Law
B) False Claims Act (FCA)
C) Anti-Kickback Statute (AKS)
D) HIPAA Privacy Rule
,Correct Answer: B
Rationale: The False Claims Act (31 U.S.C. §§ 3729-3733) imposes
liability on individuals or entities who knowingly submit false or
fraudulent claims for payment to Medicare, Medicaid, or other
federal programs. It includes qui tam provisions allowing
whistleblowers to sue on behalf of the government.
Question 2
A physician refers patients to a laboratory in which they have a
financial interest. This may violate:
A) False Claims Act
B) Stark Law (Physician Self-Referral Law)
C) HIPAA Privacy Rule
D) Civil Monetary Penalties Law
Correct Answer: B
Rationale: The Stark Law (42 U.S.C. § 1395nn) prohibits physicians
from referring Medicare/Medicaid patients for designated health
services (e.g., lab, imaging) to entities with which they (or
immediate family) have a financial relationship—unless an
exception applies.
Question 3
Offering free transportation to patients for medically necessary
services may violate the Anti-Kickback Statute unless it meets a:
A) Stark exception
B) Safe harbor
, C) HIPAA exemption
D) CMS waiver
Correct Answer: B
Rationale: The Anti-Kickback Statute (42 U.S.C. § 1320a-7b)
prohibits remuneration to induce referrals. However, OIG has
established "safe harbors" (42 CFR § 1001.952) for certain
arrangements, including local transportation for established
patients if criteria are met.
Question 4
The False Claims Act contains which of the following provisions?
A) Whistleblower protection
B) Qui tam provisions allowing private citizens to sue on behalf of
the government
C) Civil penalties for false claims
D) All of the above
Correct Answer: D
Rationale: The False Claims Act includes whistleblower-protection
provisions for persons reporting fraud and abuse, qui tam
provisions allowing private citizens to sue on behalf of the
government, and civil penalties for submitting false claims.
Question 5
Which of the following is NOT a designated health service under
the Stark Law?
Exam – Complete Practice Test
Bank (2026 Update)
This comprehensive study guide is designed for candidates
preparing for the Health Care Compliance Association (HCCA)
Certified in Healthcare Compliance (CHC) and Certified in
Healthcare Privacy Compliance (CHPC) certification exams. The
questions reflect the latest 2026 exam content, covering core
domains including healthcare laws and regulations, compliance
program elements, risk assessment, auditing, privacy and security,
billing and coding standards, and enforcement actions.
EXAM OVERVIEW
Category Details
Certifications CHC (Certified in
Healthcare
Compliance) & CHPC
(Certified in Healthcare
Privacy Compliance)
Issuing Body Health Care
Compliance
Association (HCCA)
,Key Domains Healthcare Laws &
Regulations (HIPAA,
FCA, Stark, AKS),
Compliance Program
Elements (7 Steps),
Risk Assessment &
Auditing, Privacy &
Security (HITECH),
Billing & Coding
Standards, Research
Compliance,
Enforcement Actions,
and Ethical
Decision-Making
Question Multiple-choice,
Format scenario-based,
practical application
SECTION 1: FRAUD, WASTE & ABUSE LAWS
(Questions 1-15)
Question 1
Which federal law prohibits knowingly submitting false or
fraudulent claims to government healthcare programs?
A) Stark Law
B) False Claims Act (FCA)
C) Anti-Kickback Statute (AKS)
D) HIPAA Privacy Rule
,Correct Answer: B
Rationale: The False Claims Act (31 U.S.C. §§ 3729-3733) imposes
liability on individuals or entities who knowingly submit false or
fraudulent claims for payment to Medicare, Medicaid, or other
federal programs. It includes qui tam provisions allowing
whistleblowers to sue on behalf of the government.
Question 2
A physician refers patients to a laboratory in which they have a
financial interest. This may violate:
A) False Claims Act
B) Stark Law (Physician Self-Referral Law)
C) HIPAA Privacy Rule
D) Civil Monetary Penalties Law
Correct Answer: B
Rationale: The Stark Law (42 U.S.C. § 1395nn) prohibits physicians
from referring Medicare/Medicaid patients for designated health
services (e.g., lab, imaging) to entities with which they (or
immediate family) have a financial relationship—unless an
exception applies.
Question 3
Offering free transportation to patients for medically necessary
services may violate the Anti-Kickback Statute unless it meets a:
A) Stark exception
B) Safe harbor
, C) HIPAA exemption
D) CMS waiver
Correct Answer: B
Rationale: The Anti-Kickback Statute (42 U.S.C. § 1320a-7b)
prohibits remuneration to induce referrals. However, OIG has
established "safe harbors" (42 CFR § 1001.952) for certain
arrangements, including local transportation for established
patients if criteria are met.
Question 4
The False Claims Act contains which of the following provisions?
A) Whistleblower protection
B) Qui tam provisions allowing private citizens to sue on behalf of
the government
C) Civil penalties for false claims
D) All of the above
Correct Answer: D
Rationale: The False Claims Act includes whistleblower-protection
provisions for persons reporting fraud and abuse, qui tam
provisions allowing private citizens to sue on behalf of the
government, and civil penalties for submitting false claims.
Question 5
Which of the following is NOT a designated health service under
the Stark Law?
