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HCCA CHC Exam Study Pack 2026 | Verified Questions & Answers

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Master your Healthcare Compliance Certification with the 2026 HCCA CHC Exam Study Pack. Features 100% verified exam questions, solutions, and the latest updates on HIPAA, OIG, FCA, and Stark Law. Download now to pass with an A+!

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HCCA - CHC EXAM STUDY PACK 2026 –
d d d d d d d



ACTUAL EXAM QUESTIONS WITH 100% VERIFIED SOL
d d d d d d



UTIONS-LATEST UPDATE 2026-2027/A+ GRADE d d d




TruedordFalse:

d ThedACAdrequiresdthatdalldprovidersdadoptdadcompliancedplandasdadconditiondofdenrollmentdwithdMedi

care,dMedicaid,danddChildren'sdHealthdInsurancedProgramd(CHIP).

d ✔✔True

ref.dACAdsectiond6102


AccordingdtodHHS-OIGd-

d whatdaredthreedimportantdreasonsdfordproperddocumentationdindCompliance?d(hint:dprotections)

d ✔✔1.Protectdourdprograms


2. Protectdyourdpatients


3. ProtectdthedProvider



AtdwhichdleveldofdthedMedicaredPartdAdordPartdBdappealsdprocessdisdthedappealddecisiondbydthedOffi

cedofdMedicaredHearingsdanddAppealsd(OMHA)?

,a. firstdleveldofdappeal

b. seconddleveldofdappeal

c. thirddleveldofdappeal


d. fourthdleveldofdappeal

d ✔✔c.d.dthirddleveldofdappeal

Fristdleveld-

d redeterminationdbydMedicaredcontractordSeconddleveld-

reconsiderationdbydIndependentdcontractordThirddappeald-
d




d AdministrativedLawdJudged(ALJ)dhearingdFourthdappeald-

d reviewdbydMedicaredAppealsdCouncildFifthdappeald-

reviewdindFederaldDistrictdCourt
d




https://www.hhs.gov/about/agencies/omha/the-appeals-process/index.html


WhatdshoulddCCOdbedabledtoddo?d(Whatdskillsdshoulddthisdpersondhave?)dChoosedalldthatdapply.

a. Leadershipdskills.

b. Overseedthedcodingddepartment.

c. Skillsdtoddesigndanddimplementdadcompliancedprogram.

d. Bedabledtodanticipatednewdriskdareas.


e. Practicaldexperiencedwithddocumentingdmedicaldnecessity.d


✔✔a.dLeadershipdskills,

,c.dSkillsdtoddesigndanddimplementdadcompliancedprogram,dand

d.dBedabledtodanticipatednewdriskdareas.




WhichdofdthedfollowingdisdandabsolutednecessitydindorderdtodhavedadsuccessfuldCompliancedProgra

m?

a. continuousdtrainingdanddimprovements

b. effectivedreportingdpath

c. non-retaliationdfordwhistleblowers


d. reliabledanddequalddisciplined


✔✔c.dnon-retaliationdfordwhistleblowers




AdCompliancedProgramdwithdwelldwrittendpoliciesdanddprocedures:

a. candbedsuccessfuldifdconsistentlydrevieweddanddmaintained

b. cannotdbedeffectivedduedtodthedsheerdvolumedpresented

c. willdbedeffectivedifdreaddbydmanagement

d. willdnotdbedsuccessfuldwithoutdthedproperdoversightd


✔✔d.dwilldnotdbedsuccessfuldwithoutdthe

properdoversight


AdCompliancedOfficerdcandachievedadhigherdleveldofdcompliancedanddethicsdengagementdby:

a. ensuringdleadershipdreadsdthedpolicies

, b. increasingdmanagementdinvolvement

c. respondingdtodcompliancedhotlinedcalls

d. monitoringdthedcodedofdconductd


✔✔b.dincreasingdmanagementdinvolvement



Whichdofdthedfollowingdrequiresdprovidersdtodbedpermanentlydexcludeddfromdalldfederaldhealthdcar

edprogramsdifdfounddguiltydofdadhealthcaredrelateddfrauddadthirddtime:

a. DeficitdReductiondActdofd2005

b. FalsedClaimsdAct

c. BalancedBudgetdActdofd1997

d. SocialdSecuritydActdsectiond1128

d ✔✔c.dBalancedBudgetdActdofd1997

AlsodknowndasdadBBAd"threedstrikesdrule"


WhichdstatementdisdTRUEdregardingdcompliancedprograms?

a. Compliancedprogramsdaredconsidereddmoreddangerousdifdtheydareddevelopeddbutdnotdi

mplemented.

b. Compliancedprogramsdcanddetectdbutdnotdpreventdcriminaldconduct

c. Compliancedprogramsdaredonlydrequireddbydlawdfordhealthcaredentitiesdthatdhavedmoredthan

$500,000dindannualdrevenue.

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