HCCA CHC TESTBANK EXAM 2026-2027 (700+
QUESTIONS AND ANSWERS) GRADED A+
Which of the following is an absolute necessity in order to have a successful
Compliance Program?
a. continuous training and improvements
b. effective reporting path
c. non-retaliation for whistleblowers
d. reliable and equal discipline
c. non-retaliation for whistleblowers
A Compliance Program with well written policies and procedures:
a. can be successful if consistently reviewed and maintained
b. cannot be effective due to the sheer volume presented
c. will be effective if read by management
d. will not be successful without the proper oversight
d. will not be successful without the proper oversight
Regardless of having the best written policies in place that are
reviewed/maintained consistently, and read and disseminated accordingly, will fail
if there is no proper oversight to ensure they are actually being followed and
understood.
,A Compliance Officer can achieve a higher level of compliance and ethics
engagement by:
a. ensuring leadership reads the policies
b. increasing management involvement
c. responding to compliance hotline calls
d. monitoring the code of conduct
b. increasing management involvement.
Compliance is everyone's responsibility, but management involvement is crucial.
They have a direct contact with employees, they know and understand their staff's
needs and concerns, and have the most influence over employee's actions and
attitudes. Employees most likely use their direct manager(s) to raise concerns and
the reason they are so critical for an organization to foster a culture of compliance.
Which of the following requires providers to be permanently excluded from all
federal health care programs if found guilty of a healthcare related fraud a third
time:
a. Deficit Reduction Act of 2005
b. False Claims Act
c. Balance Budget Act of 1997
d. Social Security Act section 1128d
c. Balance Budget Act of 1997
,Also known as a BBA "three strikes rule"
What section of the ACA prevents discrimination against individuals with limited
English proficiency (LEP), and also prohibits discrimination in healthcare
programs and activities that receive federal funding, based on race, color, national
origin, sex, age, or disability.
a. ACA section 6102
b. ACA section 1557
c. ACA section 6002
b. ACA section 1557 is the correct answer.
a. ACA section 6102 requires owners, operators, and administrators of LTC
facilities to adopt effective compliance.
c. ACA section 6002 requires the establishment of a transparency program, now
known as CMS Open Payments.
Which statement is TRUE regarding compliance programs?
a. Compliance programs are considered more dangerous if they are developed but
not implemented.
b. Compliance programs can detect but not prevent criminal conduct
, c. Compliance programs are only required by law for healthcare entities that have
more than $500,000 in annual revenue.
d. Compliance programs are not mandated by law.
a. Compliance programs are considered more dangerous if they are developed but
not implemented.
An individual's understanding of the compliance aspects of their job can BEST be
enhanced by including compliance in:
a. annual evaluations
b. exit interviews
c. HR benefit materials
d. audit committee meetings
a. annual evaluations
Formal statement outlining a plan for a specified subject area. It usually cites state
and/or federal required actions or standards.
a. CAP
b. Procedure document
c. Policy document
d. Legal standards
c. Policy document
QUESTIONS AND ANSWERS) GRADED A+
Which of the following is an absolute necessity in order to have a successful
Compliance Program?
a. continuous training and improvements
b. effective reporting path
c. non-retaliation for whistleblowers
d. reliable and equal discipline
c. non-retaliation for whistleblowers
A Compliance Program with well written policies and procedures:
a. can be successful if consistently reviewed and maintained
b. cannot be effective due to the sheer volume presented
c. will be effective if read by management
d. will not be successful without the proper oversight
d. will not be successful without the proper oversight
Regardless of having the best written policies in place that are
reviewed/maintained consistently, and read and disseminated accordingly, will fail
if there is no proper oversight to ensure they are actually being followed and
understood.
,A Compliance Officer can achieve a higher level of compliance and ethics
engagement by:
a. ensuring leadership reads the policies
b. increasing management involvement
c. responding to compliance hotline calls
d. monitoring the code of conduct
b. increasing management involvement.
Compliance is everyone's responsibility, but management involvement is crucial.
They have a direct contact with employees, they know and understand their staff's
needs and concerns, and have the most influence over employee's actions and
attitudes. Employees most likely use their direct manager(s) to raise concerns and
the reason they are so critical for an organization to foster a culture of compliance.
Which of the following requires providers to be permanently excluded from all
federal health care programs if found guilty of a healthcare related fraud a third
time:
a. Deficit Reduction Act of 2005
b. False Claims Act
c. Balance Budget Act of 1997
d. Social Security Act section 1128d
c. Balance Budget Act of 1997
,Also known as a BBA "three strikes rule"
What section of the ACA prevents discrimination against individuals with limited
English proficiency (LEP), and also prohibits discrimination in healthcare
programs and activities that receive federal funding, based on race, color, national
origin, sex, age, or disability.
a. ACA section 6102
b. ACA section 1557
c. ACA section 6002
b. ACA section 1557 is the correct answer.
a. ACA section 6102 requires owners, operators, and administrators of LTC
facilities to adopt effective compliance.
c. ACA section 6002 requires the establishment of a transparency program, now
known as CMS Open Payments.
Which statement is TRUE regarding compliance programs?
a. Compliance programs are considered more dangerous if they are developed but
not implemented.
b. Compliance programs can detect but not prevent criminal conduct
, c. Compliance programs are only required by law for healthcare entities that have
more than $500,000 in annual revenue.
d. Compliance programs are not mandated by law.
a. Compliance programs are considered more dangerous if they are developed but
not implemented.
An individual's understanding of the compliance aspects of their job can BEST be
enhanced by including compliance in:
a. annual evaluations
b. exit interviews
c. HR benefit materials
d. audit committee meetings
a. annual evaluations
Formal statement outlining a plan for a specified subject area. It usually cites state
and/or federal required actions or standards.
a. CAP
b. Procedure document
c. Policy document
d. Legal standards
c. Policy document
