HCCA CHC AND CHPC CERTIFICATION
COMPREHENSIVE EXAM QUESTIONS
AND ANSWERS LATEST UPDATE THIS
YEAR - JUST RELEASED
1. According to the OIG, which of the following is considered the most critical component of
an effective compliance program?
A. A written Code of Conduct
B. Regular internal auditing and monitoring
C. The commitment of senior management and the Board
D. Annual training for all employees
Answer: C
Conceptual Explanation: While all are elements, the ‘Tone at the Top’ and commitment
from leadership are considered foundational for the effectiveness of the other elements.
2. Under the False Claims Act, ‘knowing’ or ‘knowingly’ includes which of the following?
A. Only actual knowledge of the falsity
B. Actual knowledge, deliberate ignorance, or reckless disregard
C. Intent to defraud the government explicitly
D. Accidental errors in billing documentation
,Answer: B
Conceptual Explanation: The FCA defines ‘knowingly’ to include actual knowledge,
deliberate ignorance of the truth/falsity, or reckless disregard. No specific intent to defraud
is required.
3. Which law prohibits a physician from referring Medicare patients for ‘designated health
services’ to an entity with which the physician has a financial relationship?
A. Anti-Kickback Statute
B. False Claims Act
C. Stark Law
D. Civil Monetary Penalties Law
Answer: C
Conceptual Explanation: The Stark Law (Physician Self-Referral Law) specifically targets
physician referrals for designated health services (DHS) where a financial relationship
exists, unless an exception applies.
4. The Anti-Kickback Statute is a ‘remedial’ statute that requires what level of intent for a
violation?
A. Strict liability
B. Negligence
C. Reckless disregard
, D. Knowing and willful intent
Answer: D
Conceptual Explanation: The AKS is a criminal statute that requires a person to
‘knowingly and willfully’ offer, pay, solicit, or receive remuneration to induce referrals.
5. What is the primary difference between the Stark Law and the Anti-Kickback Statute
regarding intent?
A. Stark Law is intent-based; AKS is strict liability
B. Both require proof of specific intent to defraud
C. Neither requires intent if a violation occurred
D. Stark Law is strict liability; AKS is intent-based
Answer: D
Conceptual Explanation: Stark Law is a civil, strict liability statute (if you break the rule,
you are liable regardless of intent), whereas AKS requires proving willful intent.
6. Under HIPAA, a Business Associate is required to notify a Covered Entity of a breach within
what timeframe?
A. Without unreasonable delay and in no case later than 60 days
B. No later than 60 days after discovery
C. Exactly 30 days after the breach occurred
D. Immediately upon suspicion of a breach
COMPREHENSIVE EXAM QUESTIONS
AND ANSWERS LATEST UPDATE THIS
YEAR - JUST RELEASED
1. According to the OIG, which of the following is considered the most critical component of
an effective compliance program?
A. A written Code of Conduct
B. Regular internal auditing and monitoring
C. The commitment of senior management and the Board
D. Annual training for all employees
Answer: C
Conceptual Explanation: While all are elements, the ‘Tone at the Top’ and commitment
from leadership are considered foundational for the effectiveness of the other elements.
2. Under the False Claims Act, ‘knowing’ or ‘knowingly’ includes which of the following?
A. Only actual knowledge of the falsity
B. Actual knowledge, deliberate ignorance, or reckless disregard
C. Intent to defraud the government explicitly
D. Accidental errors in billing documentation
,Answer: B
Conceptual Explanation: The FCA defines ‘knowingly’ to include actual knowledge,
deliberate ignorance of the truth/falsity, or reckless disregard. No specific intent to defraud
is required.
3. Which law prohibits a physician from referring Medicare patients for ‘designated health
services’ to an entity with which the physician has a financial relationship?
A. Anti-Kickback Statute
B. False Claims Act
C. Stark Law
D. Civil Monetary Penalties Law
Answer: C
Conceptual Explanation: The Stark Law (Physician Self-Referral Law) specifically targets
physician referrals for designated health services (DHS) where a financial relationship
exists, unless an exception applies.
4. The Anti-Kickback Statute is a ‘remedial’ statute that requires what level of intent for a
violation?
A. Strict liability
B. Negligence
C. Reckless disregard
, D. Knowing and willful intent
Answer: D
Conceptual Explanation: The AKS is a criminal statute that requires a person to
‘knowingly and willfully’ offer, pay, solicit, or receive remuneration to induce referrals.
5. What is the primary difference between the Stark Law and the Anti-Kickback Statute
regarding intent?
A. Stark Law is intent-based; AKS is strict liability
B. Both require proof of specific intent to defraud
C. Neither requires intent if a violation occurred
D. Stark Law is strict liability; AKS is intent-based
Answer: D
Conceptual Explanation: Stark Law is a civil, strict liability statute (if you break the rule,
you are liable regardless of intent), whereas AKS requires proving willful intent.
6. Under HIPAA, a Business Associate is required to notify a Covered Entity of a breach within
what timeframe?
A. Without unreasonable delay and in no case later than 60 days
B. No later than 60 days after discovery
C. Exactly 30 days after the breach occurred
D. Immediately upon suspicion of a breach
