1
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HCCA - CHC Study Questions (MASTER
FLASHCARDS) Questions and Answers
(100% Correct Answers) Already Graded
A+
True or False:
The ACA requires that all providers adopt a compliance plan as a
condition of enrollment with Medicare, Medicaid, and Children's
Health Insurance Program (CHIP). [ ANS: ] True
© 2025 Assignment Expert
ref. ACA section 6102
Guru01 - Stuvia
According to HHS-OIG - what are three important reasons for
proper documentation in Compliance? (hint: protections) [ ANS: ]
1.Protect our programs
2.Protect your patients
3.Protect the Provider
https://oig.hhs.gov/newsroom/podcasts/2011/heat/heat09-
trans.asp#:~:text=Proper%20documentation%2C%20both%20in%20
patients,to%20protect%20you%20the%20provider.
At which level of the Medicare Part A or Part B appeals process is
the appeal decision by the Office of Medicare Hearings and
Appeals (OMHA)?
a. first level of appeal
b. second level of appeal
c. third level of appeal
, 2
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d. fourth level of appeal [ ANS: ] c. . third level of appeal
Frist level - redetermination by Medicare contractor
Second level - reconsideration by Independent contractor
Third appeal - Administrative Law Judge (ALJ) hearing
Fourth appeal - review by Medicare Appeals Council
Fifth appeal - review in Federal District Court
© 2025 Assignment Expert
https://www.hhs.gov/about/agencies/omha/the-appeals-
process/index.html
What should CCO be able to do? (What skills should this person
Guru01 - Stuvia
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. [
ANS: ] a. Leadership skills,
c. Skills to design and implement a compliance program, and
d. Be able to anticipate new risk areas.
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
, 3
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c. non-retaliation for whistleblowers
d. reliable and equal discipline [ ANS: ] c. non-retaliation for
whistleblowers
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 [ ANS: ] d. will
© 2025 Assignment Expert
not be successful without the proper oversight
Guru01 - Stuvia
Regardless of having the best written policies in place that are
reviewed/maintained consistently, and read and disseminated
accordingly, will fail if there is no proper oversight to ensure they
are actually being followed and understood.
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 [ ANS: ] b. increasing
management involvement.
Compliance is everyone's responsibility, but management
involvement is crucial. They have a direct contact with
employees, they know and understand their staff's needs and
concerns, and have the most influence over employee's actions
, 4
For Expert help and assignment solutions, +254707240657
and attitudes. Employees most likely use their direct manager(s) to
raise concerns and the reason they are so critical for an
organization to foster a culture of compliance.
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
© 2025 Assignment Expert
d. Social Security Act section 1128d [ ANS: ] c. Balance Budget Act
of 1997
Guru01 - Stuvia
Also known as a BBA "three strikes rule"
What section of the ACA prevents discrimination against
individuals with limited English proficiency (LEP), and also prohibits
discrimination in healthcare programs and activities that receive
federal funding, based on race, color, national origin, sex, age, or
disability.
a. ACA section 6102
b. ACA section 1557
c. ACA section 6002 [ ANS: ] b. ACA section 1557 is the correct
answer.
a. ACA section 6102 requires owners, operators, and
administrators of LTC facilities to adopt effective compliance.
For Expert help and assignment solutions, +254707240657
HCCA - CHC Study Questions (MASTER
FLASHCARDS) Questions and Answers
(100% Correct Answers) Already Graded
A+
True or False:
The ACA requires that all providers adopt a compliance plan as a
condition of enrollment with Medicare, Medicaid, and Children's
Health Insurance Program (CHIP). [ ANS: ] True
© 2025 Assignment Expert
ref. ACA section 6102
Guru01 - Stuvia
According to HHS-OIG - what are three important reasons for
proper documentation in Compliance? (hint: protections) [ ANS: ]
1.Protect our programs
2.Protect your patients
3.Protect the Provider
https://oig.hhs.gov/newsroom/podcasts/2011/heat/heat09-
trans.asp#:~:text=Proper%20documentation%2C%20both%20in%20
patients,to%20protect%20you%20the%20provider.
At which level of the Medicare Part A or Part B appeals process is
the appeal decision by the Office of Medicare Hearings and
Appeals (OMHA)?
a. first level of appeal
b. second level of appeal
c. third level of appeal
, 2
For Expert help and assignment solutions, +254707240657
d. fourth level of appeal [ ANS: ] c. . third level of appeal
Frist level - redetermination by Medicare contractor
Second level - reconsideration by Independent contractor
Third appeal - Administrative Law Judge (ALJ) hearing
Fourth appeal - review by Medicare Appeals Council
Fifth appeal - review in Federal District Court
© 2025 Assignment Expert
https://www.hhs.gov/about/agencies/omha/the-appeals-
process/index.html
What should CCO be able to do? (What skills should this person
Guru01 - Stuvia
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. [
ANS: ] a. Leadership skills,
c. Skills to design and implement a compliance program, and
d. Be able to anticipate new risk areas.
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
, 3
For Expert help and assignment solutions, +254707240657
c. non-retaliation for whistleblowers
d. reliable and equal discipline [ ANS: ] c. non-retaliation for
whistleblowers
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 [ ANS: ] d. will
© 2025 Assignment Expert
not be successful without the proper oversight
Guru01 - Stuvia
Regardless of having the best written policies in place that are
reviewed/maintained consistently, and read and disseminated
accordingly, will fail if there is no proper oversight to ensure they
are actually being followed and understood.
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 [ ANS: ] b. increasing
management involvement.
Compliance is everyone's responsibility, but management
involvement is crucial. They have a direct contact with
employees, they know and understand their staff's needs and
concerns, and have the most influence over employee's actions
, 4
For Expert help and assignment solutions, +254707240657
and attitudes. Employees most likely use their direct manager(s) to
raise concerns and the reason they are so critical for an
organization to foster a culture of compliance.
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
© 2025 Assignment Expert
d. Social Security Act section 1128d [ ANS: ] c. Balance Budget Act
of 1997
Guru01 - Stuvia
Also known as a BBA "three strikes rule"
What section of the ACA prevents discrimination against
individuals with limited English proficiency (LEP), and also prohibits
discrimination in healthcare programs and activities that receive
federal funding, based on race, color, national origin, sex, age, or
disability.
a. ACA section 6102
b. ACA section 1557
c. ACA section 6002 [ ANS: ] b. ACA section 1557 is the correct
answer.
a. ACA section 6102 requires owners, operators, and
administrators of LTC facilities to adopt effective compliance.
