CHC - CCB Practice Test
A compliance expert conducts an investigation into allegations of physicians and nurses taking
photos of accidents and posting them on a social community. It is showed that the 2 physicians
and a nurse have engaged on this behavior. Which of the following is the compliance expert's
and HR director's BEST action?
A. Review and cling to the enterprise's disciplinary policy
b. Revoke the doctor's sanatorium privileges, and terminate nurse
c. File the incident to the Peer Review Committee and the nursing board
d. Notify the board of administrators, and act in keeping with their guidelines - ANS-a.
Assessment and cling to the enterprise's disciplinary policy
A compliance expert discovers non-compliance with a regulation. Which of the subsequent the
compliance professional do FIRST?
A. Put into effect disciplinary actions
b. Behavior a baseline audit
c. Consist of it within the annual paintings plan
d. Increase a threat precise training plan - ANS-b. Behavior a baseline audit
A compliance professional recognized an problem with medical necessity. The compliance
expert have to collaborate with the:
a. Case manager
b. Billing clerk
c. Documentation professional
d. Patient account consultant - ANS-a. Case manager
A compliance expert is accomplishing a policy evaluation. Which of the subsequent approaches
MUST be blanketed within the policy for statistically valid sampling and extrapolation?
A. Economic errors charge exceeds 5% with a refund to occur inside 60 days
b. Monetary error fee exceeds 5% with money back to occur inside ninety days
c. Coding errors rate exceeds five% with money back to arise within 60 days
d. Coding error rate exceeds 5% with a refund to arise inside 90 days - ANS-a. Economic
blunders price exceeds 5% with a refund to occur within 60 days
A hotline caller states the coding branch changed into informed to code based on LCD
necessities irrespective of medical report records. Which of the following have to be the
compliance expert's FIRST action?
A. Direct the coding manager to observe the applicable coverage
b. Comprise the coding issue into subsequent 12 months's danger assessment
c. Layout a assessment to locate records and circumstances related to the compliant
, d. Have interaction outdoor suggest to defend the underlying facts from discovery - ANS-c.
Layout a evaluation to locate facts and situations related to the compliant
A initial investigation recognized bills to physicians for clinical directorship without written
contracts. Which of the subsequent should be the compliance expert's NEXT step?
A. Determine if Medicare payments have been acquired
b. Provoke a voluntary disclosure
c. Offer schooling to contracting workplace
d. Refund payments to the contractors - ANS-a. Determine if Medicare bills were acquired
A record retention policy need to be based totally on
a. AHIMA necessities
b. Relevant nation legal guidelines
c. Kingdom coverage commissioner's requirements
d. Applicable electronic health document constraints - ANS-b. Applicable kingdom legal
guidelines
An employee reviews a capability problem with the attending health practitioner's presence for
surgery. Which of the following is the compliance expert's BEST action?
A. Inspect the issue
b. Method the health practitioner
c. Notify the OIG
d. Request copies of the records - ANS-a. Look into the issue
An individual's information of the compliance components of their job may be BEST greater by
using including compliance in
a. Annual evaluations
b. Exit interviews
c. HR benefit material
d. Audit committee meetings - ANS-a. Annual evaluations
An Organization identifies a capability problem whilst reviewing non-public offerings and control
contracts. Which of the following must the compliance professional recollect in studying the
difficulty?
A. Deficit Reduction Act (DRA)
b. Conditions of Participation (CoP)
c. IRS tax-exempt tips
d. Anti-Kickback (AKS) Safe Harbors - ANS-d. Anti-Kickback (AKS) Safe Harbors
Coinsurance and deductibles may be waived
a. For any federal payors
b. Throughout the admission technique
c. Following price to the 1/3 birthday party
d. If there is tested monetary hardship - ANS-d. If there may be validated financial trouble
A compliance expert conducts an investigation into allegations of physicians and nurses taking
photos of accidents and posting them on a social community. It is showed that the 2 physicians
and a nurse have engaged on this behavior. Which of the following is the compliance expert's
and HR director's BEST action?
A. Review and cling to the enterprise's disciplinary policy
b. Revoke the doctor's sanatorium privileges, and terminate nurse
c. File the incident to the Peer Review Committee and the nursing board
d. Notify the board of administrators, and act in keeping with their guidelines - ANS-a.
Assessment and cling to the enterprise's disciplinary policy
A compliance expert discovers non-compliance with a regulation. Which of the subsequent the
compliance professional do FIRST?
A. Put into effect disciplinary actions
b. Behavior a baseline audit
c. Consist of it within the annual paintings plan
d. Increase a threat precise training plan - ANS-b. Behavior a baseline audit
A compliance professional recognized an problem with medical necessity. The compliance
expert have to collaborate with the:
a. Case manager
b. Billing clerk
c. Documentation professional
d. Patient account consultant - ANS-a. Case manager
A compliance expert is accomplishing a policy evaluation. Which of the subsequent approaches
MUST be blanketed within the policy for statistically valid sampling and extrapolation?
A. Economic errors charge exceeds 5% with a refund to occur inside 60 days
b. Monetary error fee exceeds 5% with money back to occur inside ninety days
c. Coding errors rate exceeds five% with money back to arise within 60 days
d. Coding error rate exceeds 5% with a refund to arise inside 90 days - ANS-a. Economic
blunders price exceeds 5% with a refund to occur within 60 days
A hotline caller states the coding branch changed into informed to code based on LCD
necessities irrespective of medical report records. Which of the following have to be the
compliance expert's FIRST action?
A. Direct the coding manager to observe the applicable coverage
b. Comprise the coding issue into subsequent 12 months's danger assessment
c. Layout a assessment to locate records and circumstances related to the compliant
, d. Have interaction outdoor suggest to defend the underlying facts from discovery - ANS-c.
Layout a evaluation to locate facts and situations related to the compliant
A initial investigation recognized bills to physicians for clinical directorship without written
contracts. Which of the subsequent should be the compliance expert's NEXT step?
A. Determine if Medicare payments have been acquired
b. Provoke a voluntary disclosure
c. Offer schooling to contracting workplace
d. Refund payments to the contractors - ANS-a. Determine if Medicare bills were acquired
A record retention policy need to be based totally on
a. AHIMA necessities
b. Relevant nation legal guidelines
c. Kingdom coverage commissioner's requirements
d. Applicable electronic health document constraints - ANS-b. Applicable kingdom legal
guidelines
An employee reviews a capability problem with the attending health practitioner's presence for
surgery. Which of the following is the compliance expert's BEST action?
A. Inspect the issue
b. Method the health practitioner
c. Notify the OIG
d. Request copies of the records - ANS-a. Look into the issue
An individual's information of the compliance components of their job may be BEST greater by
using including compliance in
a. Annual evaluations
b. Exit interviews
c. HR benefit material
d. Audit committee meetings - ANS-a. Annual evaluations
An Organization identifies a capability problem whilst reviewing non-public offerings and control
contracts. Which of the following must the compliance professional recollect in studying the
difficulty?
A. Deficit Reduction Act (DRA)
b. Conditions of Participation (CoP)
c. IRS tax-exempt tips
d. Anti-Kickback (AKS) Safe Harbors - ANS-d. Anti-Kickback (AKS) Safe Harbors
Coinsurance and deductibles may be waived
a. For any federal payors
b. Throughout the admission technique
c. Following price to the 1/3 birthday party
d. If there is tested monetary hardship - ANS-d. If there may be validated financial trouble
