CHC Exam Prep Made Easy Practice Lab..
CHC Exam Prep Made Easy Practice Lab |
HCCA CHC Exam Questions 2026/2027
Compliance Program
Formal system of policies, oversight, and enforcement designed to prevent and detect law violations.
Federal Sentencing Guidelines (FSG)
Guidelines allowing reduced penalties for organizations with effective compliance and ethics programs.
U.S. Sentencing Commission (USSC)
Independent judicial agency that issues the Federal Sentencing Guidelines, including Chapter Eight.
Office of Inspector General (OIG)
HHS office fighting fraud and abuse; publishes Compliance Program Guidance and exclusion lists.
Compliance Program Guidance (CPG)
Voluntary, sector-specific OIG documents describing the components of an effective compliance
program.
The Seven Elements
The OIG/FSG framework: standards, oversight, training, communication, monitoring, enforcement, and
response.
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,CHC Exam Prep Made Easy Practice Lab..
Code of Conduct
High-level document expressing an organization's core values, behaviors, and commitment to
compliance.
Standards of Conduct
Behavioral expectations that elaborate the code of conduct and are enforced through policies.
Compliance Officer (CO)
Individual with operational responsibility for the compliance program, reporting directly to the CEO.
Compliance Committee
Multidisciplinary group that advises and supports the Compliance Officer's operational activities.
Board Oversight
Governing board's fiduciary duty to ensure an effective compliance program is in place.
Health Care Compliance Association (HCCA)
Professional organization that certifies CHC professionals and publishes the professional Code of Ethics.
HCCA Code of Ethics Obligations
Obligations to the public, the employing organization, and the compliance profession (PEP).
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,CHC Exam Prep Made Easy Practice Lab..
Compliance Risk Assessment
Structured process identifying and prioritizing risks based on likelihood, impact, and existing controls.
Compliance Work Plan
Annual operational plan translating prioritized risks into specific audits, training, and policy activities.
Hotline / Reporting Line
Confidential, anonymous channel for reporting suspected violations without fear of retaliation.
Auditing
Independent, structured, retrospective review of processes against defined criteria.
Monitoring
Ongoing, real-time observation of operations and key indicators by process owners.
DOJ ECCP
Department of Justice framework used to evaluate if compliance programs are well-designed and
resourced.
Tone at the Top
Visible leadership commitment to ethics and compliance modeled by the board and executives.
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, CHC Exam Prep Made Easy Practice Lab..
Compliance vs. Ethics (Core Question)
Compliance asks 'Is it legal?'; Ethics asks 'Is it the right thing to do?'
Compliance vs. Ethics (Driver)
Compliance is rules-driven (external law); Ethics is values-driven (organizational character).
Compliance Officer Reporting Line (Best Practice)
Directly to the CEO with independent, unfiltered access to the board.
OIG/DOJ Stance on CO Reporting to GC
Strongly discouraged; can compromise independence and dilute compliance authority.
STORIES Mnemonic: S
Standards (written policies, procedures, and code of conduct).
STORIES Mnemonic: T
Training and education (general and role-specific).
STORIES Mnemonic: O
Officer and committee (designated Compliance Officer and advisory committee).
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CHC Exam Prep Made Easy Practice Lab |
HCCA CHC Exam Questions 2026/2027
Compliance Program
Formal system of policies, oversight, and enforcement designed to prevent and detect law violations.
Federal Sentencing Guidelines (FSG)
Guidelines allowing reduced penalties for organizations with effective compliance and ethics programs.
U.S. Sentencing Commission (USSC)
Independent judicial agency that issues the Federal Sentencing Guidelines, including Chapter Eight.
Office of Inspector General (OIG)
HHS office fighting fraud and abuse; publishes Compliance Program Guidance and exclusion lists.
Compliance Program Guidance (CPG)
Voluntary, sector-specific OIG documents describing the components of an effective compliance
program.
The Seven Elements
The OIG/FSG framework: standards, oversight, training, communication, monitoring, enforcement, and
response.
1 of 33
,CHC Exam Prep Made Easy Practice Lab..
Code of Conduct
High-level document expressing an organization's core values, behaviors, and commitment to
compliance.
Standards of Conduct
Behavioral expectations that elaborate the code of conduct and are enforced through policies.
Compliance Officer (CO)
Individual with operational responsibility for the compliance program, reporting directly to the CEO.
Compliance Committee
Multidisciplinary group that advises and supports the Compliance Officer's operational activities.
Board Oversight
Governing board's fiduciary duty to ensure an effective compliance program is in place.
Health Care Compliance Association (HCCA)
Professional organization that certifies CHC professionals and publishes the professional Code of Ethics.
HCCA Code of Ethics Obligations
Obligations to the public, the employing organization, and the compliance profession (PEP).
2 of 33
,CHC Exam Prep Made Easy Practice Lab..
Compliance Risk Assessment
Structured process identifying and prioritizing risks based on likelihood, impact, and existing controls.
Compliance Work Plan
Annual operational plan translating prioritized risks into specific audits, training, and policy activities.
Hotline / Reporting Line
Confidential, anonymous channel for reporting suspected violations without fear of retaliation.
Auditing
Independent, structured, retrospective review of processes against defined criteria.
Monitoring
Ongoing, real-time observation of operations and key indicators by process owners.
DOJ ECCP
Department of Justice framework used to evaluate if compliance programs are well-designed and
resourced.
Tone at the Top
Visible leadership commitment to ethics and compliance modeled by the board and executives.
3 of 33
, CHC Exam Prep Made Easy Practice Lab..
Compliance vs. Ethics (Core Question)
Compliance asks 'Is it legal?'; Ethics asks 'Is it the right thing to do?'
Compliance vs. Ethics (Driver)
Compliance is rules-driven (external law); Ethics is values-driven (organizational character).
Compliance Officer Reporting Line (Best Practice)
Directly to the CEO with independent, unfiltered access to the board.
OIG/DOJ Stance on CO Reporting to GC
Strongly discouraged; can compromise independence and dilute compliance authority.
STORIES Mnemonic: S
Standards (written policies, procedures, and code of conduct).
STORIES Mnemonic: T
Training and education (general and role-specific).
STORIES Mnemonic: O
Officer and committee (designated Compliance Officer and advisory committee).
4 of 33
