HCCA CHC/CHPC COMPLIANCE APPLICATION
2025–2026 | VERIFIED TEST BANK WITH 250+
PRACTICE QUESTIONS, ANSWERS & DETAILED
RATIONALES | COMPLETE STUDY GUIDE FOR
CERTIFIED IN HEALTHCARE COMPLIANCE
(CHC) & CERTIFIED IN HEALTHCARE PRIVACY
COMPLIANCE (CHPC) EXAM PREP
Question 1:
What is the primary purpose of the HIPAA Privacy Rule?
A) To protect the privacy of patient health information
B) To eliminate billing fraud
C) To improve healthcare quality
D) To increase the efficiency of healthcare organizations
CORRECT OPTION: A) To protect the privacy of patient health information
RATIONALE: The HIPAA Privacy Rule establishes national standards for the protection of
individuals' medical records and personal health information, ensuring their confidentiality.
Question 2:
Which of the following is NOT considered a covered entity under HIPAA?
A) Health plans
B) Healthcare clearinghouses
C) Business associates
D) Employers
CORRECT OPTION: D) Employers
RATIONALE: Employers are not classified as covered entities under HIPAA unless they
operate a self-funded health plan. Covered entities include healthcare providers, health plans, and
healthcare clearinghouses.
Question 3:
In the context of the CHC certification, what does the term 'compliance program' refer to?
, A) A set of internal policies to detect and prevent violations of laws and regulations
B) An external audit process
C) Training programs for all employees
D) Guidelines for medical billing practices
CORRECT OPTION: A) A set of internal policies to detect and prevent violations of laws
and regulations
RATIONALE: A compliance program is a framework of policies and procedures that help
organizations comply with applicable laws, regulations, and ethical standards.
Question 4:
What does 'PHI' stand for in the context of healthcare compliance?
A) Personal Health Information
B) Protected Health Information
C) Patient Health Information
D) Private Health Information
CORRECT OPTION: B) Protected Health Information
RATIONALE: PHI refers to any health information that can be linked to a specific individual
and is protected under HIPAA regulations.
Question 5:
Which of the following is a key component of a healthcare compliance program?
A) Entertainment for staff
B) Punitive measures for violations
C) Employee training and education
D) Public relations strategies
CORRECT OPTION: C) Employee training and education
RATIONALE: Training and education are essential to ensure that all employees understand
compliance regulations and their responsibilities.
Question 6:
Which act established the framework for medical record sharing in the United States?
2025–2026 | VERIFIED TEST BANK WITH 250+
PRACTICE QUESTIONS, ANSWERS & DETAILED
RATIONALES | COMPLETE STUDY GUIDE FOR
CERTIFIED IN HEALTHCARE COMPLIANCE
(CHC) & CERTIFIED IN HEALTHCARE PRIVACY
COMPLIANCE (CHPC) EXAM PREP
Question 1:
What is the primary purpose of the HIPAA Privacy Rule?
A) To protect the privacy of patient health information
B) To eliminate billing fraud
C) To improve healthcare quality
D) To increase the efficiency of healthcare organizations
CORRECT OPTION: A) To protect the privacy of patient health information
RATIONALE: The HIPAA Privacy Rule establishes national standards for the protection of
individuals' medical records and personal health information, ensuring their confidentiality.
Question 2:
Which of the following is NOT considered a covered entity under HIPAA?
A) Health plans
B) Healthcare clearinghouses
C) Business associates
D) Employers
CORRECT OPTION: D) Employers
RATIONALE: Employers are not classified as covered entities under HIPAA unless they
operate a self-funded health plan. Covered entities include healthcare providers, health plans, and
healthcare clearinghouses.
Question 3:
In the context of the CHC certification, what does the term 'compliance program' refer to?
, A) A set of internal policies to detect and prevent violations of laws and regulations
B) An external audit process
C) Training programs for all employees
D) Guidelines for medical billing practices
CORRECT OPTION: A) A set of internal policies to detect and prevent violations of laws
and regulations
RATIONALE: A compliance program is a framework of policies and procedures that help
organizations comply with applicable laws, regulations, and ethical standards.
Question 4:
What does 'PHI' stand for in the context of healthcare compliance?
A) Personal Health Information
B) Protected Health Information
C) Patient Health Information
D) Private Health Information
CORRECT OPTION: B) Protected Health Information
RATIONALE: PHI refers to any health information that can be linked to a specific individual
and is protected under HIPAA regulations.
Question 5:
Which of the following is a key component of a healthcare compliance program?
A) Entertainment for staff
B) Punitive measures for violations
C) Employee training and education
D) Public relations strategies
CORRECT OPTION: C) Employee training and education
RATIONALE: Training and education are essential to ensure that all employees understand
compliance regulations and their responsibilities.
Question 6:
Which act established the framework for medical record sharing in the United States?
