HCCA - CHC EXAM ACTUAL EXAM (2026-2027 VERSION)
| HEALTH CARE COMPLIANCE ASSOCIATION (HCCA) |
ALL QUESTIONS AND CORRECT ANSWERS | UPDATED
VERSION!
The Hospital is attempting to open its files to a new Compliance Officer
for review. What documentation is not critical for his review?
A. The patient charts for the OB floor.
B. The record of PHI breaches.
C. The labs billing records.
D. Contracts with Acme DME suppliers. ------------Correct Answer----------
----------B. Records of PHI breaches
Explanation:
PHI breaches fall under Information security not Compliance
activities. Records under Compliance activities include billing records,
patient records, vendor contracts.
The Federal Sentencing Guidelines uses 2 mitigating factors (but in
reality are 4 factors), which are:
a. Effective compliance program, reporting the violation promptly,
awareness of the violation, and accepts responsibility for the violation.
,b. Willfully ignorant of the offense, repeat violation, government
investigation was hindered and tolerance of the violation was
pervasive.
c. Effective compliance program, reporting the violation promptly,
cooperate with government investigation and accepts responsibility for
the violation.
d. Effective compliance program, first offense, cooperate with
government investigation and accepts responsibility for the violation. --
----------Correct Answer--------------------c. Effective compliance program,
reporting the violation, cooperate with government investigation, and
accepts responsibility for violation (effective prog, and report -
cooperate - accept)
What are some obstacles to an effective compliance program?
a. Lack of funding
b. Resistance to change
c. Fear of retaliation
d. Lack of education and training
e. All of the above ------------Correct Answer--------------------e. All of the
above
What are some of the kinds of compliance training sessions a
compliance professional should hold?
,a. Individualized training
b. New board member training
c. Employee handbook training
d. Both A and B ------------Correct Answer--------------------d. Both A and B
Re: c. Employee handbook (HR, not Compliance)
What is considered an appropriate start to implementing an effective
compliance program for compliance officers of small physician group
practices with limited resources?
a. Adopt only those components which, based on the practice's specific
history with billing problems and other compliance issues, are most
likely to provide an identifiable benefit.
b. A compliance program will not be effective unless every element is
fully implemented.
c. Have a manual of policies and procedures available for review in the
manager's office.
d. Small practices are low-risk so they don't need to implement a
compliance program. ------------Correct Answer--------------------a. Adopt
only those components which, based on the practice's specific history
with billing problems and other compliance issues, are most likely to
provide an identifiable benefit.
Note: practice question from AAPC CPCO Ch2
, What does the OIG Compliance Program Guidance acknowledge patient
care as?
a. Irrelevant to having an effective compliance program. They are not
related.
b. Important, but should not get in the way of implementing all seven
recommended elements.
c. Providers should put patients first in a compliance program.
d. The main reason offices fail to implement compliance programs in
the first place. ------------Correct Answer--------------------c. Providers
should put patients first in a compliance program.
In order to improve patient care, you need to put patients first!
Note: practice question from AAPC CPCO Ch2
Because of the changing nature of healthcare regulation, which
statement is TRUE regarding updating the compliance program?
a. The compliance program should only be updated annually to ensure
all the changed regulations are captured.
b. The compliance program should be updated biannually.
c. Hiring a consultant to review the program for accuracy is necessary.
| HEALTH CARE COMPLIANCE ASSOCIATION (HCCA) |
ALL QUESTIONS AND CORRECT ANSWERS | UPDATED
VERSION!
The Hospital is attempting to open its files to a new Compliance Officer
for review. What documentation is not critical for his review?
A. The patient charts for the OB floor.
B. The record of PHI breaches.
C. The labs billing records.
D. Contracts with Acme DME suppliers. ------------Correct Answer----------
----------B. Records of PHI breaches
Explanation:
PHI breaches fall under Information security not Compliance
activities. Records under Compliance activities include billing records,
patient records, vendor contracts.
The Federal Sentencing Guidelines uses 2 mitigating factors (but in
reality are 4 factors), which are:
a. Effective compliance program, reporting the violation promptly,
awareness of the violation, and accepts responsibility for the violation.
,b. Willfully ignorant of the offense, repeat violation, government
investigation was hindered and tolerance of the violation was
pervasive.
c. Effective compliance program, reporting the violation promptly,
cooperate with government investigation and accepts responsibility for
the violation.
d. Effective compliance program, first offense, cooperate with
government investigation and accepts responsibility for the violation. --
----------Correct Answer--------------------c. Effective compliance program,
reporting the violation, cooperate with government investigation, and
accepts responsibility for violation (effective prog, and report -
cooperate - accept)
What are some obstacles to an effective compliance program?
a. Lack of funding
b. Resistance to change
c. Fear of retaliation
d. Lack of education and training
e. All of the above ------------Correct Answer--------------------e. All of the
above
What are some of the kinds of compliance training sessions a
compliance professional should hold?
,a. Individualized training
b. New board member training
c. Employee handbook training
d. Both A and B ------------Correct Answer--------------------d. Both A and B
Re: c. Employee handbook (HR, not Compliance)
What is considered an appropriate start to implementing an effective
compliance program for compliance officers of small physician group
practices with limited resources?
a. Adopt only those components which, based on the practice's specific
history with billing problems and other compliance issues, are most
likely to provide an identifiable benefit.
b. A compliance program will not be effective unless every element is
fully implemented.
c. Have a manual of policies and procedures available for review in the
manager's office.
d. Small practices are low-risk so they don't need to implement a
compliance program. ------------Correct Answer--------------------a. Adopt
only those components which, based on the practice's specific history
with billing problems and other compliance issues, are most likely to
provide an identifiable benefit.
Note: practice question from AAPC CPCO Ch2
, What does the OIG Compliance Program Guidance acknowledge patient
care as?
a. Irrelevant to having an effective compliance program. They are not
related.
b. Important, but should not get in the way of implementing all seven
recommended elements.
c. Providers should put patients first in a compliance program.
d. The main reason offices fail to implement compliance programs in
the first place. ------------Correct Answer--------------------c. Providers
should put patients first in a compliance program.
In order to improve patient care, you need to put patients first!
Note: practice question from AAPC CPCO Ch2
Because of the changing nature of healthcare regulation, which
statement is TRUE regarding updating the compliance program?
a. The compliance program should only be updated annually to ensure
all the changed regulations are captured.
b. The compliance program should be updated biannually.
c. Hiring a consultant to review the program for accuracy is necessary.
