HCCA - CHC STUDY QUESTIONS (MASTER FLASHCARDS)
2025/2026 TEST LATEST QUIZ WITH VERIFIED ANSWERS (
100% CORRECT ANSWERS) / ALREADY GRADED A+ /
BRAND NEW!!
Which department is the largest inspector general's office in
the federal government?
a. HHS Office of Inspector General
b. Office of Civil Rights
c. Department of Justice
d. Centers for Medicare & Medicaid Services - ANSWER-a. HHS
Office of
Inspector General
Note: practice question from AAPC CPCO Ch1
What term would be used for actions that, either directly or
indirectly, results in unnecessary costs to the Medicare
program? a. Fraud
b. Mistake
c. Waste
d. Abuse - ANSWER-d. Abuse
,Abuse - Abuse is similar to fraud, except that the investigator
cannot establish
the act was committed knowingly, willfully, and
intentionally. The difference
between fraud and abuse is the
individual's intent.
Fraud -
knowingly/intentionally
Waste - overuse/misuse of
resources
Note: practice question from AAPC
CPCO Ch1
You are the new compliance officer for a hospital and see that it
is currently under an OIG CIA. What would be the first course of
action in your new position?
a. Review the current OIG Work Plan and update the audit
schedule for the hospital.
b. Review the Code of Conduct and Policies and Procedures
and update them as appropriate.
c. Meet with the Compliance Board and discuss your vision of
how compliance will be run in the future.
d. Review the audit schedule and pick up where the previous
compliance officer
,left off. - ANSWER-b. Review the Code of Conduct and Policies
and Procedures and update them as appropriate.
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?
a. financial error rate exceeds 5% with a refund to occur within
60 days
b. financial error rate exceeds 5% with a refund to occur within
90 days
c. coding error rate exceeds 5% with a refund to occur within 60
days
d. coding error rate exceeds 5% with a refund to occur within 90
days - ANSWER-a. financial error rate exceeds 5% with a
refund to occur within 60 days
A privacy official is asked to approve a transfer form that would
have the patient's SS# on the top of the page to go with a
patient from the privacy officer's facility to another facility when
a patient is transferred. The nursing leadership at the facility is
insisting that they "have to have" the patient's SS# when
making transfer arrangements from one facility to another. The
BEST course of action for the privacy officer to take is:
A. Ask the nursing leadership to update the policy on
transfers to include that social security numbers must be
included on transfer paperwork.
, B. Have the appropriate forms updated/revised/edited so that
they can now accommodate the social security numbers.
C. Confirm with nursing any regulations or other
requirements that state social security numbers must be
included on transfer forms
D. Contact the legal department. - ANSWER-C. Confirm with
nursing any regulations or other requirements that state social
security numbers must be included on transfer forms
Home health coverage criteria include the beneficiary must
A. have been hospitalized within the past 72 hours and under
the care of a physician.
B. be currently enrolled in a Medicare managed care plan
and have a condition needing skilled services.
C. require the services of a skilled nurse and not be able to
leave place of residence.
D. be homebound, require skilled services and be under the
care of a physician. - ANSWER-D. be homebound, require
skilled services and be under the care of a physician
Your organization is interviewing for a new Compliance
Officer. Which of the
following qualifications is the least
important?
a. The candidate is trustworthy
2025/2026 TEST LATEST QUIZ WITH VERIFIED ANSWERS (
100% CORRECT ANSWERS) / ALREADY GRADED A+ /
BRAND NEW!!
Which department is the largest inspector general's office in
the federal government?
a. HHS Office of Inspector General
b. Office of Civil Rights
c. Department of Justice
d. Centers for Medicare & Medicaid Services - ANSWER-a. HHS
Office of
Inspector General
Note: practice question from AAPC CPCO Ch1
What term would be used for actions that, either directly or
indirectly, results in unnecessary costs to the Medicare
program? a. Fraud
b. Mistake
c. Waste
d. Abuse - ANSWER-d. Abuse
,Abuse - Abuse is similar to fraud, except that the investigator
cannot establish
the act was committed knowingly, willfully, and
intentionally. The difference
between fraud and abuse is the
individual's intent.
Fraud -
knowingly/intentionally
Waste - overuse/misuse of
resources
Note: practice question from AAPC
CPCO Ch1
You are the new compliance officer for a hospital and see that it
is currently under an OIG CIA. What would be the first course of
action in your new position?
a. Review the current OIG Work Plan and update the audit
schedule for the hospital.
b. Review the Code of Conduct and Policies and Procedures
and update them as appropriate.
c. Meet with the Compliance Board and discuss your vision of
how compliance will be run in the future.
d. Review the audit schedule and pick up where the previous
compliance officer
,left off. - ANSWER-b. Review the Code of Conduct and Policies
and Procedures and update them as appropriate.
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?
a. financial error rate exceeds 5% with a refund to occur within
60 days
b. financial error rate exceeds 5% with a refund to occur within
90 days
c. coding error rate exceeds 5% with a refund to occur within 60
days
d. coding error rate exceeds 5% with a refund to occur within 90
days - ANSWER-a. financial error rate exceeds 5% with a
refund to occur within 60 days
A privacy official is asked to approve a transfer form that would
have the patient's SS# on the top of the page to go with a
patient from the privacy officer's facility to another facility when
a patient is transferred. The nursing leadership at the facility is
insisting that they "have to have" the patient's SS# when
making transfer arrangements from one facility to another. The
BEST course of action for the privacy officer to take is:
A. Ask the nursing leadership to update the policy on
transfers to include that social security numbers must be
included on transfer paperwork.
, B. Have the appropriate forms updated/revised/edited so that
they can now accommodate the social security numbers.
C. Confirm with nursing any regulations or other
requirements that state social security numbers must be
included on transfer forms
D. Contact the legal department. - ANSWER-C. Confirm with
nursing any regulations or other requirements that state social
security numbers must be included on transfer forms
Home health coverage criteria include the beneficiary must
A. have been hospitalized within the past 72 hours and under
the care of a physician.
B. be currently enrolled in a Medicare managed care plan
and have a condition needing skilled services.
C. require the services of a skilled nurse and not be able to
leave place of residence.
D. be homebound, require skilled services and be under the
care of a physician. - ANSWER-D. be homebound, require
skilled services and be under the care of a physician
Your organization is interviewing for a new Compliance
Officer. Which of the
following qualifications is the least
important?
a. The candidate is trustworthy
