HCCA CERTIFICATION EXAM | 2026/2027
Health Care Compliance Association Certification Exam with Complete Questions &
Verified Answers | Latest Version
Overview
This 2026/2027 updated resource contains the latest HCCA (Health Care Compliance
Association) Certification Exam with the exact 50 questions and verified answers,
following current HCCA content outlines, OIG (Office of Inspector General) compliance
guidance, CMS (Centers for Medicare & Medicaid Services) regulations, and healthcare
compliance best practices.
Key Features
● ✓ Actual HCCA exam format with the official 50 questions
● ✓ Comprehensive coverage of healthcare compliance domains and regulatory
requirements
● ✓ Updated 2026/2027 federal healthcare regulations and enforcement
trends
● ✓ Practical compliance program implementation scenarios
● ✓ Risk assessment and auditing methodologies for healthcare organizations
Core Content Areas (50 Total Questions)
● Healthcare Laws & Regulations (12 Qs)
● Compliance Program Elements & Operations (10 Qs)
● Risk Assessment & Auditing/Monitoring (8 Qs)
● Fraud, Waste & Abuse Prevention (8 Qs)
● Privacy & Security (HIPAA/HITECH) (7 Qs)
● Ethics & Professional Responsibility (5 Qs)
Answer Format
Correct answers are marked in bold green and include:
● Specific regulatory citations (False Claims Act, Anti-Kickback Statute, Stark Law)
● OIG compliance program guidance applications
● CMS regulatory requirement interpretations
● Risk assessment methodology applications
● Investigative procedure protocols for compliance violations
● Remediation plan development strategies
Updates for 2026/2027
, 🔹 Reflects 2026-2027 HCCA content outline revisions
🔹 Updated CMS conditions of participation changes
●
🔹 Enhanced telehealth compliance requirements post-pandemic regulations
●
🔹 Revised price transparency and No Surprises Act implementations
●
🔹 New cybersecurity regulations for healthcare organizations
●
🔹 Updated enforcement priorities from DOJ and OIG
●
🔹 Enhanced cultural competency in compliance program design
●
🔹 Revised data analytics and monitoring tool applications
●
●
HCCA Certification Exam Questions (1–50)
1. Which of the following is NOT one of the seven elements of an effective
compliance program as outlined by the OIG?
A) Written policies and procedures
B) Designation of a compliance officer
C) Employee training and education
D) Mandatory reporting to the Department of Justice
Rationale: The OIG’s seven elements do not include mandatory DOJ reporting.
Reporting is required only when statutory or regulatory obligations exist.
2. The Anti-Kickback Statute (AKS) prohibits:
A) Billing for services not rendered
B) Offering, paying, soliciting, or receiving remuneration to induce
referrals of federal healthcare program business
C) Releasing PHI without patient consent
D) Employing individuals excluded from federal programs
Rationale: AKS (42 U.S.C. § 1320a-7b) targets remuneration intended to influence
federal healthcare referrals.
3. A hospital enters into a lease agreement with a physician at below-market
rent for office space. This arrangement may violate which law?
A) False Claims Act
B) Stark Law
C) HIPAA
D) EMTALA
Rationale: Stark Law (Physician Self-Referral Law) prohibits referrals for
designated health services if a financial relationship (e.g., compensation) does not
meet an exception. Below-market leases may fail the rental exception.
4. Under the False Claims Act, a "reverse false claim" involves:
A) Submitting duplicate claims
B) Knowingly avoiding or decreasing an obligation to pay money to the
government
C) Billing for unnecessary services
D) Falsifying medical records
Health Care Compliance Association Certification Exam with Complete Questions &
Verified Answers | Latest Version
Overview
This 2026/2027 updated resource contains the latest HCCA (Health Care Compliance
Association) Certification Exam with the exact 50 questions and verified answers,
following current HCCA content outlines, OIG (Office of Inspector General) compliance
guidance, CMS (Centers for Medicare & Medicaid Services) regulations, and healthcare
compliance best practices.
Key Features
● ✓ Actual HCCA exam format with the official 50 questions
● ✓ Comprehensive coverage of healthcare compliance domains and regulatory
requirements
● ✓ Updated 2026/2027 federal healthcare regulations and enforcement
trends
● ✓ Practical compliance program implementation scenarios
● ✓ Risk assessment and auditing methodologies for healthcare organizations
Core Content Areas (50 Total Questions)
● Healthcare Laws & Regulations (12 Qs)
● Compliance Program Elements & Operations (10 Qs)
● Risk Assessment & Auditing/Monitoring (8 Qs)
● Fraud, Waste & Abuse Prevention (8 Qs)
● Privacy & Security (HIPAA/HITECH) (7 Qs)
● Ethics & Professional Responsibility (5 Qs)
Answer Format
Correct answers are marked in bold green and include:
● Specific regulatory citations (False Claims Act, Anti-Kickback Statute, Stark Law)
● OIG compliance program guidance applications
● CMS regulatory requirement interpretations
● Risk assessment methodology applications
● Investigative procedure protocols for compliance violations
● Remediation plan development strategies
Updates for 2026/2027
, 🔹 Reflects 2026-2027 HCCA content outline revisions
🔹 Updated CMS conditions of participation changes
●
🔹 Enhanced telehealth compliance requirements post-pandemic regulations
●
🔹 Revised price transparency and No Surprises Act implementations
●
🔹 New cybersecurity regulations for healthcare organizations
●
🔹 Updated enforcement priorities from DOJ and OIG
●
🔹 Enhanced cultural competency in compliance program design
●
🔹 Revised data analytics and monitoring tool applications
●
●
HCCA Certification Exam Questions (1–50)
1. Which of the following is NOT one of the seven elements of an effective
compliance program as outlined by the OIG?
A) Written policies and procedures
B) Designation of a compliance officer
C) Employee training and education
D) Mandatory reporting to the Department of Justice
Rationale: The OIG’s seven elements do not include mandatory DOJ reporting.
Reporting is required only when statutory or regulatory obligations exist.
2. The Anti-Kickback Statute (AKS) prohibits:
A) Billing for services not rendered
B) Offering, paying, soliciting, or receiving remuneration to induce
referrals of federal healthcare program business
C) Releasing PHI without patient consent
D) Employing individuals excluded from federal programs
Rationale: AKS (42 U.S.C. § 1320a-7b) targets remuneration intended to influence
federal healthcare referrals.
3. A hospital enters into a lease agreement with a physician at below-market
rent for office space. This arrangement may violate which law?
A) False Claims Act
B) Stark Law
C) HIPAA
D) EMTALA
Rationale: Stark Law (Physician Self-Referral Law) prohibits referrals for
designated health services if a financial relationship (e.g., compensation) does not
meet an exception. Below-market leases may fail the rental exception.
4. Under the False Claims Act, a "reverse false claim" involves:
A) Submitting duplicate claims
B) Knowingly avoiding or decreasing an obligation to pay money to the
government
C) Billing for unnecessary services
D) Falsifying medical records
