Page 1 of 385
HCCA – CHPC EXAM ACTUAL EXAM AND
STUDY GUIDE LATEST VERSION
COMPLETE 500+ QUESTIONS AND
CORRECT DETAILED ANSWERS JUST
RELEASED
HCCA – CHPC ACTUAL EXAM
1.What should CCO be able to do? (What skills should this person have?) Choose all that apply.
a. Leadership skills.
b. Oversee the coding department.
c. Skills to design and implement a compliance program.
d. Be able to anticipate new risk areas.
e. Practical experience with documenting medical necessity. - ANSWER-a. Leadership skills,
c. Skills to design and implement a compliance program, and
d. Be able to anticipate new risk areas.
2.Which of the following is an absolute necessity in order to have a successful Compliance
Program?
a. continuous training and improvements
b. effective reporting path
c. non-retaliation for whistleblowers
d. reliable and equal discipline - ANSWER-c. non-retaliation for whistleblowers
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3.A Compliance Program with well written policies and procedures:
a. can be successful if consistently reviewed and maintained
b. cannot be effective due to the sheer volume presented
c. will be effective if read by management
d. will not be successful without the proper oversight - ANSWER-d. will not be successful without
the proper oversight
4.A Compliance Officer can achieve a higher level of compliance and ethics engagement by:
a. ensuring leadership reads the policies
b. increasing management involvement
c. responding to compliance hotline calls
d. monitoring the code of conduct - ANSWER-b. increasing management involvement
5."The privacy officer for a hospital has updated the Notice of Privacy Practices to reflect a
material change because the previous notice did not have a description that individuals have
the right to amend their Protected Health Information. The third party review team identified
that the notice did not have the required information to let individuals know of their right to
amend PHI. What's the BEST course of action to correct deficiency?
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,Page 3 of 385
A. Make arrangements to have copies of the new NPP mailed to all patients seen within the last
year at the hospital
B. Make arrangements to have the new notice distributed to new patients that come to the
hospital
C. Post a copy of the new notice on the hospital's internal intranet so that all employees can see
the updated version of the notice
D. Meet with legal to discuss how to best self-disclose to the OCR that the hospital was in violation
of the NPP requirements and has since - ANSWER-B. Make arrangements to have the new notice
distributed to new patients that come to the hospital
Remember: The NPP must describe the following individual rights:
https://www.law.cornell.edu/cfr/text/45/164.520
• The right to request restrictions on uses or disclosures of PHI for treatment, payment or
healthcare operations; for use in a facility directory (if applicable); or to family members and
others involved in the patient's care; however, the provider is not required to agree to the
restriction except in the case of a disclosure to a health insurer if the individual has paid for the
care as required by
§164.522(a)(1)(vi). This is a change necessitated by the Omnibus Rule.
• The right to receive confidential communications by alternative means or at alternative
locations per §164.522(b).
• The right to inspect and copy PHI per § 164.524. The provider may want to include a statement
that the provider may charge a reasonable cost-based fee for copies.
• The right to amend PHI per § 164.526.
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, Page 4 of 385
• The right to receive an accounting of disclosures of PHI as provided by § 164.528.
• The right to receive a paper copy of the NPP upon request.
• A brief description of how the individual may exercise the foregoing rights, e.g., by submitting
a written request to the provider's privacy officer.
6.What is the best definition of Medicare/Medicaid fraud?
a. Attempting a scheme against the Medicare/Medicaid program
b. Knowingly executing a scheme against the Medicare/Medicaid program
c. Willfully executing a scheme against the Medicare/Medicaid program
d. All of the above - ANSWER-d. All of the above
Remember: Fraud is generally defined as knowingly and willfully executing, or attempting to
execute, a scheme.
FRAUD is intentional;
WASTE is overuse/misuse of resources carelessly;
7.Which of the following requires providers to be permanently excluded from all federal health
care programs if found guilty of a healthcare related fraud a third time:
a. Deficit Reduction Act of 2005
b. False Claims Act
c. Balance Budget Act of 1997
d. Social Security Act section 1128 - ANSWER-c. Balance Budget Act of 1997
4
HCCA – CHPC EXAM ACTUAL EXAM AND
STUDY GUIDE LATEST VERSION
COMPLETE 500+ QUESTIONS AND
CORRECT DETAILED ANSWERS JUST
RELEASED
HCCA – CHPC ACTUAL EXAM
1.What should CCO be able to do? (What skills should this person have?) Choose all that apply.
a. Leadership skills.
b. Oversee the coding department.
c. Skills to design and implement a compliance program.
d. Be able to anticipate new risk areas.
e. Practical experience with documenting medical necessity. - ANSWER-a. Leadership skills,
c. Skills to design and implement a compliance program, and
d. Be able to anticipate new risk areas.
2.Which of the following is an absolute necessity in order to have a successful Compliance
Program?
a. continuous training and improvements
b. effective reporting path
c. non-retaliation for whistleblowers
d. reliable and equal discipline - ANSWER-c. non-retaliation for whistleblowers
1
,Page 2 of 385
3.A Compliance Program with well written policies and procedures:
a. can be successful if consistently reviewed and maintained
b. cannot be effective due to the sheer volume presented
c. will be effective if read by management
d. will not be successful without the proper oversight - ANSWER-d. will not be successful without
the proper oversight
4.A Compliance Officer can achieve a higher level of compliance and ethics engagement by:
a. ensuring leadership reads the policies
b. increasing management involvement
c. responding to compliance hotline calls
d. monitoring the code of conduct - ANSWER-b. increasing management involvement
5."The privacy officer for a hospital has updated the Notice of Privacy Practices to reflect a
material change because the previous notice did not have a description that individuals have
the right to amend their Protected Health Information. The third party review team identified
that the notice did not have the required information to let individuals know of their right to
amend PHI. What's the BEST course of action to correct deficiency?
2
,Page 3 of 385
A. Make arrangements to have copies of the new NPP mailed to all patients seen within the last
year at the hospital
B. Make arrangements to have the new notice distributed to new patients that come to the
hospital
C. Post a copy of the new notice on the hospital's internal intranet so that all employees can see
the updated version of the notice
D. Meet with legal to discuss how to best self-disclose to the OCR that the hospital was in violation
of the NPP requirements and has since - ANSWER-B. Make arrangements to have the new notice
distributed to new patients that come to the hospital
Remember: The NPP must describe the following individual rights:
https://www.law.cornell.edu/cfr/text/45/164.520
• The right to request restrictions on uses or disclosures of PHI for treatment, payment or
healthcare operations; for use in a facility directory (if applicable); or to family members and
others involved in the patient's care; however, the provider is not required to agree to the
restriction except in the case of a disclosure to a health insurer if the individual has paid for the
care as required by
§164.522(a)(1)(vi). This is a change necessitated by the Omnibus Rule.
• The right to receive confidential communications by alternative means or at alternative
locations per §164.522(b).
• The right to inspect and copy PHI per § 164.524. The provider may want to include a statement
that the provider may charge a reasonable cost-based fee for copies.
• The right to amend PHI per § 164.526.
3
, Page 4 of 385
• The right to receive an accounting of disclosures of PHI as provided by § 164.528.
• The right to receive a paper copy of the NPP upon request.
• A brief description of how the individual may exercise the foregoing rights, e.g., by submitting
a written request to the provider's privacy officer.
6.What is the best definition of Medicare/Medicaid fraud?
a. Attempting a scheme against the Medicare/Medicaid program
b. Knowingly executing a scheme against the Medicare/Medicaid program
c. Willfully executing a scheme against the Medicare/Medicaid program
d. All of the above - ANSWER-d. All of the above
Remember: Fraud is generally defined as knowingly and willfully executing, or attempting to
execute, a scheme.
FRAUD is intentional;
WASTE is overuse/misuse of resources carelessly;
7.Which of the following requires providers to be permanently excluded from all federal health
care programs if found guilty of a healthcare related fraud a third time:
a. Deficit Reduction Act of 2005
b. False Claims Act
c. Balance Budget Act of 1997
d. Social Security Act section 1128 - ANSWER-c. Balance Budget Act of 1997
4
