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HCCA - CHC STUDY QUESTIONS AND CORRECT ANSWERS VERIFIED LATEST GRADE A +

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HCCA - CHC STUDY QUESTIONS AND CORRECT ANSWERS VERIFIED LATEST GRADE A +

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HCCA - CHC STUDY QUESTIONS AND
CORRECT ANSWERS VERIFIED LATEST
2023-2024 GRADE A +




Trueq1orq1False:
Theq1ACAq1requiresq1thatq1allq1providersq1adoptq1aq1complian
ceq1planq1asq1aq1conditionq1ofq1enrollmentq1withq1Medicare,q1M
edicaid,q1andq1Children'sq1Healthq1Insuranceq1Programq1(CHI
P).q1-
CORRECTq1ANSWERq1>>True


ref.q1ACAq1sectionq16102


Accordingq1toq1HHS-OIGq1-
whatq1areq1threeq1importantq1reasonsq1forq1properq1documen
q1


tationq1inq1Compliance?q1(hint:q1protections)q1-
q 1 CORRECTq1ANSWERq1>>1.Protectq1ourq1programs
2. Protectq1yourq1patients
3. Protectq1theq1Provider

,https://oig.hhs.gov/newsroom/podcasts/2011/heat/heat09-
q1 trans.asp#:~:text=Proper%20documentation%2C%20both
%20in%20patients,to%20protect%20you%20the%20proviq
1der.


Atq1whichq1levelq1ofq1theq1Medicareq1Partq1Aq1orq1Partq1Bq1appealsq
1processq1isq1theq1appealq1decisionq1byq1theq1Officeq1ofq1Medicare
q1 Hearingsq1andq1Appealsq1(OMHA)?
a. firstq1levelq1ofq1appeal
b. secondq1levelq1ofq1appeal
c. thirdq1levelq1ofq1appeal
d. fourthq1levelq1ofq1appealq1-
q 1 CORRECTq1ANSWERq1>>c.q1.q1thirdq1levelq1ofq1appeal


Fristq1levelq1-
q1 redeterminationq1byq1Medicareq1contractorq1Secondq1levelq
-
1


q1 reconsiderationq1byq1Independentq1contractorq1Thirdq1appe
alq1-
q1 Administrativeq1Lawq1Judgeq1(ALJ)q1hearingq1Fourthq1appe
alq1-
q1 reviewq1byq1Medicareq1Appealsq1Councilq 1 Fifthq1appealq1-
q1 reviewq1inq1Federalq1Districtq1Courtq1https://www.hhs.gov/a

,bout/agencies/omha/the-appeals-q1process/index.html

, Whatq1shouldq1CCOq1beq1ableq1toq1do?q1(Whatq1skillsq1shouldq1thi
sq1personq1have?)q1Chooseq1allq1thatq1apply.
a. Leadershipq1skills.
b. Overseeq1theq1codingq1department.
c. Skillsq1toq1designq1andq1implementq1aq1complianceq1program.
d. Beq1ableq1toq1anticipateq1newq1riskq1areas.
e. Practicalq1experienceq1withq1documentingq1medicalq1nece
ssity.q1-q 1 CORRECTq1ANSWERq1>>a.q1Leadershipq1skills,
c.q1Skillsq1toq1designq1andq1implementq1aq1complianceq1progra
m,q1and
d.q1Beq1ableq1toq1anticipateq1newq1riskq1areas.


Whichq1ofq1theq1followingq1isq1anq1absoluteq1necessityq1inq1orderq1t
oq1haveq1aq1successfulq1Complianceq1Program?
a. continuousq1trainingq1andq1improvements
b. effectiveq1reportingq1path
c. non-retaliationq1forq1whistleblowers
d. reliableq1andq1equalq1disciplineq1-q 1 CORRECTq1ANSWER
>>c.q1non-retaliationq1forq1whistleblowers

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