HCCA - CHC EXAM NEWEST 2026 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALL ANSWERED {780 Q & A}
ALREADY GRADED A+ | BRAND NEW! | 100%
GUARANTEED PASS
QUESTION 1
Which of the following is one of the seven core elements of an effective compliance
program according to OIG guidance?
A. Mandatory minimum fines for violations
B. Designation of a compliance officer and compliance committee
C. Elimination of all physician referral relationships
D. Quarterly external audits only
Correct Answer: B. Designation of a compliance officer and compliance
committee
Rationale: The OIG's seven core elements of an effective compliance program include:
(1) written policies and procedures, (2) designation of a compliance officer and
compliance committee, (3) effective training and education, (4) effective lines of
communication, (5) internal monitoring and auditing, (6) enforcement of disciplinary
guidelines, and (7) prompt response to detected offenses .
QUESTION 2
What is the role of the Board of Directors in compliance oversight?
A. No role; compliance is solely a management function
,B. Conducting all internal audits personally
C. Exercising fiduciary responsibility by overseeing the compliance program's
effectiveness
D. Handling all hotline calls directly
Correct Answer: C. Exercising fiduciary responsibility by overseeing the
compliance program's effectiveness
Rationale: The Board has fiduciary responsibility to oversee the compliance program,
ensure adequate resources, review reports, and hold leadership accountable for
program effectiveness .
QUESTION 3
Which two main documents become tools to build a compliance program?
A. Marketing plan and budget
B. Code of Conduct and Policies & Procedures
C. Employee handbook and payroll records
D. Strategic plan and mission statement
Correct Answer: B. Code of Conduct and Policies & Procedures
Rationale: The Code of Conduct establishes organizational values and ethical
expectations, while Policies & Procedures provide specific guidance on compliance
requirements .
QUESTION 4
,A compliance committee should include:
A. Only external auditors
B. Representatives from key departments (e.g., legal, audit, HR, clinical operations)
C. Only senior executives
D. Only members from outside the organization
Correct Answer: B. Representatives from key departments (e.g., legal, audit, HR,
clinical operations)
Rationale: Effective compliance committees include cross-functional representation to
ensure diverse perspectives and comprehensive program oversight .
QUESTION 5
What 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
Correct Answer: C. non-retaliation for whistleblowers
Rationale: For any reporting method to be effective, employees must accept that there
will be no retaliation or retribution for coming forward .
QUESTION 6
, Which federal law prohibits knowingly submitting false claims to government
healthcare programs?
A. Stark Law
B. False Claims Act (FCA)
C. Anti-Kickback Statute (AKS)
D. HIPAA
Correct Answer: B. False Claims Act (FCA)
Rationale: The False Claims Act (31 U.S.C. §§ 3729-3733) imposes liability on
individuals/entities who knowingly submit false or fraudulent claims for payment to
Medicare, Medicaid, or other federal programs. It includes qui tam provisions allowing
whistleblowers to sue on behalf of the government .
QUESTION 7
The U.S. Federal Sentencing Commission was organized in _____, published its initial
set of guidelines in _____, and included chapter eight of the Federal Sentencing
Guidelines for Organizations (FSGO) in _____.
A. 1980, 1982, 1985
B. 1985, 1987, 1991
C. 1990, 1992, 1995
D. 1975, 1977, 1980
Correct Answer: B. 1985, 1987, 1991
Rationale: The FSGO Chapter 8 established guidelines for organizational compliance
programs, incentivizing effective compliance through reduced penalties .
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALL ANSWERED {780 Q & A}
ALREADY GRADED A+ | BRAND NEW! | 100%
GUARANTEED PASS
QUESTION 1
Which of the following is one of the seven core elements of an effective compliance
program according to OIG guidance?
A. Mandatory minimum fines for violations
B. Designation of a compliance officer and compliance committee
C. Elimination of all physician referral relationships
D. Quarterly external audits only
Correct Answer: B. Designation of a compliance officer and compliance
committee
Rationale: The OIG's seven core elements of an effective compliance program include:
(1) written policies and procedures, (2) designation of a compliance officer and
compliance committee, (3) effective training and education, (4) effective lines of
communication, (5) internal monitoring and auditing, (6) enforcement of disciplinary
guidelines, and (7) prompt response to detected offenses .
QUESTION 2
What is the role of the Board of Directors in compliance oversight?
A. No role; compliance is solely a management function
,B. Conducting all internal audits personally
C. Exercising fiduciary responsibility by overseeing the compliance program's
effectiveness
D. Handling all hotline calls directly
Correct Answer: C. Exercising fiduciary responsibility by overseeing the
compliance program's effectiveness
Rationale: The Board has fiduciary responsibility to oversee the compliance program,
ensure adequate resources, review reports, and hold leadership accountable for
program effectiveness .
QUESTION 3
Which two main documents become tools to build a compliance program?
A. Marketing plan and budget
B. Code of Conduct and Policies & Procedures
C. Employee handbook and payroll records
D. Strategic plan and mission statement
Correct Answer: B. Code of Conduct and Policies & Procedures
Rationale: The Code of Conduct establishes organizational values and ethical
expectations, while Policies & Procedures provide specific guidance on compliance
requirements .
QUESTION 4
,A compliance committee should include:
A. Only external auditors
B. Representatives from key departments (e.g., legal, audit, HR, clinical operations)
C. Only senior executives
D. Only members from outside the organization
Correct Answer: B. Representatives from key departments (e.g., legal, audit, HR,
clinical operations)
Rationale: Effective compliance committees include cross-functional representation to
ensure diverse perspectives and comprehensive program oversight .
QUESTION 5
What 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
Correct Answer: C. non-retaliation for whistleblowers
Rationale: For any reporting method to be effective, employees must accept that there
will be no retaliation or retribution for coming forward .
QUESTION 6
, Which federal law prohibits knowingly submitting false claims to government
healthcare programs?
A. Stark Law
B. False Claims Act (FCA)
C. Anti-Kickback Statute (AKS)
D. HIPAA
Correct Answer: B. False Claims Act (FCA)
Rationale: The False Claims Act (31 U.S.C. §§ 3729-3733) imposes liability on
individuals/entities who knowingly submit false or fraudulent claims for payment to
Medicare, Medicaid, or other federal programs. It includes qui tam provisions allowing
whistleblowers to sue on behalf of the government .
QUESTION 7
The U.S. Federal Sentencing Commission was organized in _____, published its initial
set of guidelines in _____, and included chapter eight of the Federal Sentencing
Guidelines for Organizations (FSGO) in _____.
A. 1980, 1982, 1985
B. 1985, 1987, 1991
C. 1990, 1992, 1995
D. 1975, 1977, 1980
Correct Answer: B. 1985, 1987, 1991
Rationale: The FSGO Chapter 8 established guidelines for organizational compliance
programs, incentivizing effective compliance through reduced penalties .
