CHC CCB EXAM PREP PRACTICE QUESTIONS 2026 | COMPLETE TEST BANK |
HIGH-YIELD HEALTHCARE COMPLIANCE QUESTIONS | CORRECT ANSWERS |
LATEST UPDATED VERSION
1. What is the primary responsibility of a compliance professional when a
potential compliance issue is reported?
Approach the surgeon
Notify the OIG
Investigate the issue
Request copies of the records
2. If a healthcare organization finds that their compliance training program has
low attendance but high improvement in pre- and post-training quizzes, what
should they prioritize to enhance the program's effectiveness?
Focus solely on the content of the training without considering
attendance.
Increase attendance by improving outreach and engagement
strategies for the training.
Reduce the number of quizzes to make the training less intimidating.
Switch to a solely computer-based training format regardless of
audience preference.
3. If a healthcare organization fails to include statistical methodology in their
sampling policy, what potential issue could arise during compliance audits?
Increased patient satisfaction
Improved financial performance
Enhanced employee training
Inaccurate findings
,4. If a healthcare organization discovers potential fraud, what steps should they
take according to OIG guidelines?
Conduct a self-evaluation and report findings to the OIG.
Immediately terminate all employees involved without investigation.
Only inform the CMS about the issue.
Ignore the findings and continue operations as usual.
5. Which act requires organizations receiving over $5 million in Medicaid funds
to educate on the False Claims Act?
Sherman Antitrust Law
Deficit Reduction Act (DRA)
Anti-Kickback (AKS) Law
Stark Laws
6. Why is conducting a baseline audit considered the initial step for a
compliance professional upon discovering non-compliance?
Disciplinary actions are necessary to immediately address the issue.
A baseline audit helps assess the extent of non-compliance and
informs further actions.
Including it in the annual work plan ensures it is addressed eventually.
Developing a risk specific education plan is more proactive than
auditing.
7. Describe the relationship between the Deficit Reduction Act and the
education requirements for organizations receiving Medicaid funds.
, The Deficit Reduction Act allows organizations to choose whether to
educate on the False Claims Act.
The Deficit Reduction Act only applies to organizations receiving
Medicare funds, not Medicaid.
The Deficit Reduction Act is unrelated to healthcare compliance
education.
The Deficit Reduction Act mandates that organizations receiving
over $5 million in Medicaid funds must provide education on the
False Claims Act to ensure compliance and prevent fraud.
8. In a scenario where a compliance professional discovers a potential violation
of medical necessity, what steps should they take in collaboration with the
case manager?
They should ignore the issue if it seems minor.
They should immediately report the violation to the billing department
without further investigation.
They should review the patient's care plan and ensure that all
services provided are justified and documented appropriately.
They should conduct a training session for all staff on compliance
issues.
9. What is the condition under which coinsurance and deductibles can be
waived according to healthcare regulations?
during the admission process
for any federal payors
if there is proven financial hardship
following payment to the third party
HIGH-YIELD HEALTHCARE COMPLIANCE QUESTIONS | CORRECT ANSWERS |
LATEST UPDATED VERSION
1. What is the primary responsibility of a compliance professional when a
potential compliance issue is reported?
Approach the surgeon
Notify the OIG
Investigate the issue
Request copies of the records
2. If a healthcare organization finds that their compliance training program has
low attendance but high improvement in pre- and post-training quizzes, what
should they prioritize to enhance the program's effectiveness?
Focus solely on the content of the training without considering
attendance.
Increase attendance by improving outreach and engagement
strategies for the training.
Reduce the number of quizzes to make the training less intimidating.
Switch to a solely computer-based training format regardless of
audience preference.
3. If a healthcare organization fails to include statistical methodology in their
sampling policy, what potential issue could arise during compliance audits?
Increased patient satisfaction
Improved financial performance
Enhanced employee training
Inaccurate findings
,4. If a healthcare organization discovers potential fraud, what steps should they
take according to OIG guidelines?
Conduct a self-evaluation and report findings to the OIG.
Immediately terminate all employees involved without investigation.
Only inform the CMS about the issue.
Ignore the findings and continue operations as usual.
5. Which act requires organizations receiving over $5 million in Medicaid funds
to educate on the False Claims Act?
Sherman Antitrust Law
Deficit Reduction Act (DRA)
Anti-Kickback (AKS) Law
Stark Laws
6. Why is conducting a baseline audit considered the initial step for a
compliance professional upon discovering non-compliance?
Disciplinary actions are necessary to immediately address the issue.
A baseline audit helps assess the extent of non-compliance and
informs further actions.
Including it in the annual work plan ensures it is addressed eventually.
Developing a risk specific education plan is more proactive than
auditing.
7. Describe the relationship between the Deficit Reduction Act and the
education requirements for organizations receiving Medicaid funds.
, The Deficit Reduction Act allows organizations to choose whether to
educate on the False Claims Act.
The Deficit Reduction Act only applies to organizations receiving
Medicare funds, not Medicaid.
The Deficit Reduction Act is unrelated to healthcare compliance
education.
The Deficit Reduction Act mandates that organizations receiving
over $5 million in Medicaid funds must provide education on the
False Claims Act to ensure compliance and prevent fraud.
8. In a scenario where a compliance professional discovers a potential violation
of medical necessity, what steps should they take in collaboration with the
case manager?
They should ignore the issue if it seems minor.
They should immediately report the violation to the billing department
without further investigation.
They should review the patient's care plan and ensure that all
services provided are justified and documented appropriately.
They should conduct a training session for all staff on compliance
issues.
9. What is the condition under which coinsurance and deductibles can be
waived according to healthcare regulations?
during the admission process
for any federal payors
if there is proven financial hardship
following payment to the third party
