HCCA CHC/CHPC COMPREHENSIVE
EXAM PRACTICE QUESTIONS AND
ANSWERS LATEST UPDATE THIS YEAR
- JUST RELEASED
1. Which of the following is considered the primary ‘foundational’ element of an effective
compliance program according to the HHS-OIG?
A. Developing effective lines of communication.
B. Designation of a compliance officer and compliance committee.
C. Conducting effective training and education.
D. Written policies, procedures, and standards of conduct.
Answer: D
Conceptual Explanation: While all seven elements are necessary, written policies and
procedures serve as the framework and foundation for all other compliance activities.
2. Under the Federal False Claims Act, what is the legal standard for ‘knowledge’ regarding
the submission of a false claim?
A. Specific intent to defraud the government is required.
B. Proof of a written conspiracy agreement.
C. Negligence or accidental error in billing.
,D. Actual knowledge, deliberate ignorance, or reckless disregard.
Answer: D
Conceptual Explanation: The FCA does not require specific intent to defraud; it defines
‘knowing’ as actual knowledge, deliberate ignorance, or reckless disregard for the truth.
3. The Anti-Kickback Statute (AKS) is a criminal law that prohibits the exchange of anything of
value to induce referrals. Which of the following is true regarding AKS?
A. It requires proof of intent to violate the law.
B. It applies only to physicians.
C. It is a strict liability statute.
D. It only applies to Medicare, not Medicaid.
Answer: A
Conceptual Explanation: Unlike the Stark Law, the Anti-Kickback Statute is an intent-
based criminal statute, meaning the government must prove the defendant acted willfully.
4. A compliance officer discovers a physician is referring patients to an imaging center in
which the physician’s immediate family member has an ownership interest. Which law is
most likely implicated?
A. The Stark Law (Physician Self-Referral Law).
B. The Anti-Kickback Statute.
C. The Emergency Medical Treatment and Labor Act (EMTALA).
, D. The Sherman Antitrust Act.
Answer: A
Conceptual Explanation: The Stark Law prohibits a physician from making referrals for
certain designated health services (DHS) to an entity with which the physician or an
immediate family member has a financial relationship.
5. According to the HITECH Act, if a breach of PHI affects more than 500 individuals in a single
jurisdiction, the entity must notify the media and the Secretary of HHS within how many
days?
A. 60 days
B. 45 days
C. 30 days
D. 90 days
Answer: A
Conceptual Explanation: Breaches involving 500 or more individuals require notification
to the Secretary of HHS and prominent media outlets without unreasonable delay, and in
no case later than 60 calendar days.
6. Which of the following describes the ‘One Purpose Test’ in the context of the Anti-Kickback
Statute?
A. The payment must have only one purpose to be legal.
EXAM PRACTICE QUESTIONS AND
ANSWERS LATEST UPDATE THIS YEAR
- JUST RELEASED
1. Which of the following is considered the primary ‘foundational’ element of an effective
compliance program according to the HHS-OIG?
A. Developing effective lines of communication.
B. Designation of a compliance officer and compliance committee.
C. Conducting effective training and education.
D. Written policies, procedures, and standards of conduct.
Answer: D
Conceptual Explanation: While all seven elements are necessary, written policies and
procedures serve as the framework and foundation for all other compliance activities.
2. Under the Federal False Claims Act, what is the legal standard for ‘knowledge’ regarding
the submission of a false claim?
A. Specific intent to defraud the government is required.
B. Proof of a written conspiracy agreement.
C. Negligence or accidental error in billing.
,D. Actual knowledge, deliberate ignorance, or reckless disregard.
Answer: D
Conceptual Explanation: The FCA does not require specific intent to defraud; it defines
‘knowing’ as actual knowledge, deliberate ignorance, or reckless disregard for the truth.
3. The Anti-Kickback Statute (AKS) is a criminal law that prohibits the exchange of anything of
value to induce referrals. Which of the following is true regarding AKS?
A. It requires proof of intent to violate the law.
B. It applies only to physicians.
C. It is a strict liability statute.
D. It only applies to Medicare, not Medicaid.
Answer: A
Conceptual Explanation: Unlike the Stark Law, the Anti-Kickback Statute is an intent-
based criminal statute, meaning the government must prove the defendant acted willfully.
4. A compliance officer discovers a physician is referring patients to an imaging center in
which the physician’s immediate family member has an ownership interest. Which law is
most likely implicated?
A. The Stark Law (Physician Self-Referral Law).
B. The Anti-Kickback Statute.
C. The Emergency Medical Treatment and Labor Act (EMTALA).
, D. The Sherman Antitrust Act.
Answer: A
Conceptual Explanation: The Stark Law prohibits a physician from making referrals for
certain designated health services (DHS) to an entity with which the physician or an
immediate family member has a financial relationship.
5. According to the HITECH Act, if a breach of PHI affects more than 500 individuals in a single
jurisdiction, the entity must notify the media and the Secretary of HHS within how many
days?
A. 60 days
B. 45 days
C. 30 days
D. 90 days
Answer: A
Conceptual Explanation: Breaches involving 500 or more individuals require notification
to the Secretary of HHS and prominent media outlets without unreasonable delay, and in
no case later than 60 calendar days.
6. Which of the following describes the ‘One Purpose Test’ in the context of the Anti-Kickback
Statute?
A. The payment must have only one purpose to be legal.
