HCCA CHC/CHPC Compliance Exam 2026:
150 Questions & Answers
Domain 1: Compliance Program Administration (Questions
1–35)
1. What is the primary purpose of a healthcare compliance program?
A) To maximize revenue for the organization
B) To detect and prevent fraud, waste, and abuse
C) To replace legal counsel
D) To eliminate all organizational risk
Answer: B
2. 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) Annual profit targets
D) Outsourcing all compliance functions
Answer: B
3. What is the role of the Board of Directors in compliance oversight?
A) Day-to-day management of compliance investigations
B) Exercising fiduciary responsibility by overseeing the compliance program's
effectiveness
C) Approving individual employee hires
D) Directly auditing claims
Answer: B
4. A 450-bed acute care hospital's Board of Directors has just approved the hiring
of a new Chief Compliance Officer (CCO). What should be the CCO's first priority?
A) Conducting a comprehensive risk assessment
B) Firing underperforming staff
,C) Reducing the compliance budget
D) Eliminating the compliance committee
Answer: A
5. Who has the ultimate responsibility for the compliance program's effectiveness
in a healthcare organization?
A) The Compliance Officer
B) The General Counsel
C) The Governing Body/Board of Directors
D) The Director of Nursing
Answer: C
6. Which of the following is NOT one of the OIG's seven elements of an effective
compliance program?
A) Written policies and procedures
B) Compliance officer and compliance committee
C) Profit maximization strategies
D) Effective training and education
Answer: C
7. What is the primary purpose of compliance policies and procedures in a
healthcare organization?
A) To provide a framework for ethical behavior and regulatory compliance
B) To increase administrative burden
C) To replace employee training
D) To satisfy insurance requirements only
Answer: A
8. 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: A
9. What is an absolute necessity in order to have a successful Compliance
Program?
A) Continuous training and improvements
B) A large compliance department
C) Expensive compliance software
, D) Annual external audits only
Answer: A
10. Which of the following should be included in a compliance program's written
policies and procedures?
A) General ethics statements only
B) Enforcement and disciplinary guidelines for violations
C) Individual staff employment contracts
D) Vendor marketing information
Answer: B
11. What is the term for an organization's commitment to compliance by the
board, management, and all employees?
A) Tone at the top
B) Corporate culture
C) Compliance orientation
D) Governance structure
Answer: A
12. Which of the following is a key responsibility of a Chief Compliance Officer?
A) Managing the organization's finances
B) Overseeing the compliance program and reporting to the Board
C) Providing direct patient care
D) Supervising the marketing department
Answer: B
13. A compliance professional has been working with a department director to
implement a new policy regarding timely completion of medical records. Which of
the following should be completed by the department manager to promote
compliance with the new policy?
A) Monitoring
B) Statistically valid sampling audit
C) Discovery Audit
D) Retrospective Audit
Answer: A
14. What are the three roles of a board member in compliance oversight?
A) Compliance oversight, structuring the compliance program, and ensuring adequate
resources
B) Hiring, firing, and payroll
C) Auditing, coding, and billing
150 Questions & Answers
Domain 1: Compliance Program Administration (Questions
1–35)
1. What is the primary purpose of a healthcare compliance program?
A) To maximize revenue for the organization
B) To detect and prevent fraud, waste, and abuse
C) To replace legal counsel
D) To eliminate all organizational risk
Answer: B
2. 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) Annual profit targets
D) Outsourcing all compliance functions
Answer: B
3. What is the role of the Board of Directors in compliance oversight?
A) Day-to-day management of compliance investigations
B) Exercising fiduciary responsibility by overseeing the compliance program's
effectiveness
C) Approving individual employee hires
D) Directly auditing claims
Answer: B
4. A 450-bed acute care hospital's Board of Directors has just approved the hiring
of a new Chief Compliance Officer (CCO). What should be the CCO's first priority?
A) Conducting a comprehensive risk assessment
B) Firing underperforming staff
,C) Reducing the compliance budget
D) Eliminating the compliance committee
Answer: A
5. Who has the ultimate responsibility for the compliance program's effectiveness
in a healthcare organization?
A) The Compliance Officer
B) The General Counsel
C) The Governing Body/Board of Directors
D) The Director of Nursing
Answer: C
6. Which of the following is NOT one of the OIG's seven elements of an effective
compliance program?
A) Written policies and procedures
B) Compliance officer and compliance committee
C) Profit maximization strategies
D) Effective training and education
Answer: C
7. What is the primary purpose of compliance policies and procedures in a
healthcare organization?
A) To provide a framework for ethical behavior and regulatory compliance
B) To increase administrative burden
C) To replace employee training
D) To satisfy insurance requirements only
Answer: A
8. 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: A
9. What is an absolute necessity in order to have a successful Compliance
Program?
A) Continuous training and improvements
B) A large compliance department
C) Expensive compliance software
, D) Annual external audits only
Answer: A
10. Which of the following should be included in a compliance program's written
policies and procedures?
A) General ethics statements only
B) Enforcement and disciplinary guidelines for violations
C) Individual staff employment contracts
D) Vendor marketing information
Answer: B
11. What is the term for an organization's commitment to compliance by the
board, management, and all employees?
A) Tone at the top
B) Corporate culture
C) Compliance orientation
D) Governance structure
Answer: A
12. Which of the following is a key responsibility of a Chief Compliance Officer?
A) Managing the organization's finances
B) Overseeing the compliance program and reporting to the Board
C) Providing direct patient care
D) Supervising the marketing department
Answer: B
13. A compliance professional has been working with a department director to
implement a new policy regarding timely completion of medical records. Which of
the following should be completed by the department manager to promote
compliance with the new policy?
A) Monitoring
B) Statistically valid sampling audit
C) Discovery Audit
D) Retrospective Audit
Answer: A
14. What are the three roles of a board member in compliance oversight?
A) Compliance oversight, structuring the compliance program, and ensuring adequate
resources
B) Hiring, firing, and payroll
C) Auditing, coding, and billing
