CHC - CCB Practice Test Questions with
Complete Solutions
A compliance professional identified an issue with medical necessity. The compliance
professional should collaborate with the:
case manager billing
clerk documentation
specialist
patient account representative ✔✔a. case manager
When non-compliance is substantiated, disciplinary action should be administered a. within 30
days if intent is proven in a consistent manner
after completion of corrective action ✔✔c. in a consistent manner
Which of the following is the BEST question to include in an employee exit interview?
Why are you leaving your job?
Did you ever observe anything that made you feel uncomfortable?
, How many times did you use the compliance hotline?
Do you think your patients knew about the hotline? ✔✔b. Did you ever observe anything that
made you feel uncomfortable?
A compliance professional is conducting a policy review. Which of the following procedures
MUST be included in the policy for statistically valid sampling and extrapolation?
financial error rate exceeds 5% with a refund to occur within 60 days financial
error rate exceeds 5% with a refund to occur within 90 days coding error rate
exceeds 5% with a refund to occur within 60 days
coding error rate exceeds 5% with a refund to occur within 90 days ✔✔a. financial error rate
exceeds 5% with a refund to occur within 60 days
Incentive programs based on employee performance may be tied to increases in a. the case mix
index
CPT/DRG codes
patient referrals
patient satisfaction ✔✔d. patient satisfaction
Complete Solutions
A compliance professional identified an issue with medical necessity. The compliance
professional should collaborate with the:
case manager billing
clerk documentation
specialist
patient account representative ✔✔a. case manager
When non-compliance is substantiated, disciplinary action should be administered a. within 30
days if intent is proven in a consistent manner
after completion of corrective action ✔✔c. in a consistent manner
Which of the following is the BEST question to include in an employee exit interview?
Why are you leaving your job?
Did you ever observe anything that made you feel uncomfortable?
, How many times did you use the compliance hotline?
Do you think your patients knew about the hotline? ✔✔b. Did you ever observe anything that
made you feel uncomfortable?
A compliance professional is conducting a policy review. Which of the following procedures
MUST be included in the policy for statistically valid sampling and extrapolation?
financial error rate exceeds 5% with a refund to occur within 60 days financial
error rate exceeds 5% with a refund to occur within 90 days coding error rate
exceeds 5% with a refund to occur within 60 days
coding error rate exceeds 5% with a refund to occur within 90 days ✔✔a. financial error rate
exceeds 5% with a refund to occur within 60 days
Incentive programs based on employee performance may be tied to increases in a. the case mix
index
CPT/DRG codes
patient referrals
patient satisfaction ✔✔d. patient satisfaction
