UPDATED HCCA-CHC ACTUAL EXAM WITH
COMPLETE ANSWERS 2026
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 - answer-b.
increasing management involvement.
True or False:
The ACA requires that all providers adopt a
compliance plan as a condition of enrollment with
Medicare, Medicaid, and Children's Health Insurance
Program (CHIP). - answer-True
ref. ACA section 6102
,According to HHS-OIG - what are three important
reasons for proper documentation in Compliance?
(hint: protections) - answer-1.Protect our programs
2.Protect your patients
3.Protect the Provider
At which level of the Medicare Part A or Part B appeals
process is the appeal decision by the Office of
Medicare Hearings and Appeals (OMHA)?
a. first level of appeal
b. second level of appeal
c. third level of appeal
d. fourth level of appeal - answer-c. . third level of
appeal
Frist level - redetermination by Medicare contractor
Second level - reconsideration by Independent
contractor
Third appeal - Administrative Law Judge (ALJ) hearing
Fourth appeal - review by Medicare Appeals Council
Fifth appeal - review in Federal District Court
,What should CCO be able to do? (What skills should
this person have?) 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. - answer-a. Leadership skills,
c. Skills to design and implement a compliance
program, and
d. Be able to anticipate new risk areas.
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 - answer-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 -
answer-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.
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
COMPLETE ANSWERS 2026
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 - answer-b.
increasing management involvement.
True or False:
The ACA requires that all providers adopt a
compliance plan as a condition of enrollment with
Medicare, Medicaid, and Children's Health Insurance
Program (CHIP). - answer-True
ref. ACA section 6102
,According to HHS-OIG - what are three important
reasons for proper documentation in Compliance?
(hint: protections) - answer-1.Protect our programs
2.Protect your patients
3.Protect the Provider
At which level of the Medicare Part A or Part B appeals
process is the appeal decision by the Office of
Medicare Hearings and Appeals (OMHA)?
a. first level of appeal
b. second level of appeal
c. third level of appeal
d. fourth level of appeal - answer-c. . third level of
appeal
Frist level - redetermination by Medicare contractor
Second level - reconsideration by Independent
contractor
Third appeal - Administrative Law Judge (ALJ) hearing
Fourth appeal - review by Medicare Appeals Council
Fifth appeal - review in Federal District Court
,What should CCO be able to do? (What skills should
this person have?) 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. - answer-a. Leadership skills,
c. Skills to design and implement a compliance
program, and
d. Be able to anticipate new risk areas.
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 - answer-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 -
answer-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.
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
