HCCA - CHC STUDY QUESTIONS
(MASTER FLASHCARDS) 2025 TEST
LATEST QUIZ WITH VERIFIED
ANSWERS ALREADY GRADED
Save
Terms in this set (781)
,True or False: True
The ACA
requires that all ref. ACA section 6102
providers adopt
a compliance
plan as a
condition of
enrollment with
Medicare,
Medicaid, and
Children's Health
Insurance
Program (CHIP).
According to 1.Protect our programs
HHS-OIG - what 2.Protect your patients
are three 3.Protect the Provider
important
reasons for https://oig.hhs.gov/newsroom/podc
proper asts/2011/heat/heat09-
documentation trans.asp#:~:text=Proper%20docume
in Compliance? ntation%2C%20both%20in%20patien
(hint: ts,to%20protect%20you%20the%20p
protections) rovider.
,At which level of c. . third level of appeal
the Medicare
Part A or Part B Frist level - redetermination by
appeals process Medicare contractor
is the appeal Second level - reconsideration by
decision by the Independent contractor
Office of Third appeal - Administrative Law
Medicare Judge (ALJ) hearing
Hearings and Fourth appeal - review by Medicare
Appeals Appeals Council
(OMHA)? Fifth appeal - review in Federal
a. first level of District Court
appeal https://www.hhs.gov/about/agencies
b. second level /omha/the-appeals-
of appeal process/index.html
c. third level of
appeal
d. fourth level of
appeal
, What should a. Leadership skills,
CCO be able to c. Skills to design and implement a
do? (What skills compliance program, and
should this d. Be able to anticipate new risk
person have?) areas.
Choose 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.
e. Practical
experience with
documenting
medical
necessity.
(MASTER FLASHCARDS) 2025 TEST
LATEST QUIZ WITH VERIFIED
ANSWERS ALREADY GRADED
Save
Terms in this set (781)
,True or False: True
The ACA
requires that all ref. ACA section 6102
providers adopt
a compliance
plan as a
condition of
enrollment with
Medicare,
Medicaid, and
Children's Health
Insurance
Program (CHIP).
According to 1.Protect our programs
HHS-OIG - what 2.Protect your patients
are three 3.Protect the Provider
important
reasons for https://oig.hhs.gov/newsroom/podc
proper asts/2011/heat/heat09-
documentation trans.asp#:~:text=Proper%20docume
in Compliance? ntation%2C%20both%20in%20patien
(hint: ts,to%20protect%20you%20the%20p
protections) rovider.
,At which level of c. . third level of appeal
the Medicare
Part A or Part B Frist level - redetermination by
appeals process Medicare contractor
is the appeal Second level - reconsideration by
decision by the Independent contractor
Office of Third appeal - Administrative Law
Medicare Judge (ALJ) hearing
Hearings and Fourth appeal - review by Medicare
Appeals Appeals Council
(OMHA)? Fifth appeal - review in Federal
a. first level of District Court
appeal https://www.hhs.gov/about/agencies
b. second level /omha/the-appeals-
of appeal process/index.html
c. third level of
appeal
d. fourth level of
appeal
, What should a. Leadership skills,
CCO be able to c. Skills to design and implement a
do? (What skills compliance program, and
should this d. Be able to anticipate new risk
person have?) areas.
Choose 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.
e. Practical
experience with
documenting
medical
necessity.
