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Exam (elaborations)

HCCA CHC Exam Prep questions and with correct answers.

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HCCA CHC Exam Prep questions and with correct answers.

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HCCA CHC
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HCCA CHC









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Institution
HCCA CHC
Course
HCCA CHC

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Uploaded on
October 24, 2025
Number of pages
12
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

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  • hcca chc exam prep questions and with correct answ

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HCCA CHC Exam Prep questions and
with correct answers
StarkHorHPhysicianHSelf-ReferralHLawH-HCORRECTHANSWER-
TheHOmnibusHBudgetHReconciliationHActHbansHphysiciansHfromHreferringHpatientsHtoHreceiveH"desi
gnatedHhealthHservices"HtoHanyHentityHwithHwhichHtheHphysicianHhasHaHfinancialHrelationship.HDesi
gnatedHhealthHservicesHincludeHlabHtesting,HimagingHservices,HphysicalHorHoccupationalHtherapy,He
tc.H(civilHonly,Hmedicare/medicaidHonly,HstrictHliability)



Anti-KickbackHStatuteH(AKS)H-HCORRECTHANSWER-
ProhibitsHtheHsolicitation,Hreceiving,Hoffering,HorHpayingHanyHremunerationHdirectlyHorHindirectlyHi
nHcashHorHinHkindHinHexchange.HEssentiallyHitHprohibitsHtheHexchangeHofHanythingHofHvalueHinHexcha
ngeHforHorHinHanHeffortHtoHgainHtheHreferralHofHbusinessHreimbursableHbyHfederalHhealthcareHprogr
ams.H(intent,HanyHfederalHprogram,HcivilHorHcriminal)



PhysicianHPaymentsHSunshineHActH(PPSA)H-HCORRECTHANSWER-
RequiresHthatHdetailedHinformationHaboutHpaymentsHorHotherH"transfersHofHvalue"HworthHoverH$1
0HfromHmanufacturersHofHdrugs,HmedicalHdevicesHandHbiologicsHtoHphysiciansHandHteachingHhospit
alsHbeHmadeHavailableHtoHtheHpublic.H(OpenHpaymentHdata).



DeficitHReductionHActH-HCORRECTHANSWER-
AHFederalHlawHthatHgrantsHstatesHtheHabilityHtoHmodifyHtheirHMedicaidHprograms.HThisHallowsHindiv
idualHstatesHtoHreformHtheirHMedicaidHprogramsHtoHfitHwithHtheHpresentHhealthHcareHenvironmentH
whileHmaintainingHfederalHguidelines.



FalseHClaimsHActH-HCORRECTHANSWER-
OriginallyHadoptedHbytHU.S.HCongressHtoHdiscourageHsuppliersHfromHoverchargingHtheHgovernmen
t,HitHisHnowHlegislationHthatHprohibitsHanyoneHfromHknowinglyHsubmittingHorHcausingHtoHbeHsubmit
tedHaHfalseHorHfraudulentHclaim.HDOJ.

, QuiHTamHActionH-HCORRECTHANSWER-
AllowsHpersonsHandHentitiesHwithHevidenceHofHfraudHagainstHfederalHprogramsHorHcontractsHtoHsue
HtheHwrongdoerHonHbehalfHofHtheHUnitedHStatesHGovernmentH-HbasedHuponHprivateHinformation.




7HElementsHofHanHEffectiveHComplianceHProgramH-HCORRECTHANSWER-1.HPoliciesHandHProceduresH

2.HComplianceHOversight

3.HEffectiveHLinesHofHCommunicationH

4.HTrainingH/HEducationH

5.HInternalHMonitoringHandHAuditingH

6.HEnforcingHstandardsHthroughHconsistentHdisciplinaryHguidelinesH

7.HRespondingHtimelyHtoHdetractedHoffenses.



HIPAAHPrivacyHRuleH-HCORRECTHANSWER-
AHcoveredHentityHmayHnotHuseHofHdiscloseHprotectedHhealthHinformationHexceptHforHwhenHitHisHreq
uiredHorHpermitted.



HIPAAHSecurityHRuleH-HCORRECTHANSWER-
EssentiallyHoutlinesHhowHtoHprotectHPHIHinHanHelectronicHformH(onlyHappliesHtoHePHI).H3HmainHsafe
guards:Hadministrative,Htechnical,HandHphysical.



ReportableHBreachH-HCORRECTHANSWER-1.HbreachHofHprivacyHrule

2.HunsecuredHPHIH

3.HmoreHthanH"lowHprobabilityHofHcompromise"



BreachHNotificationH-HCORRECTHANSWER-1.HNotifyHindividualHinHwritingH

-ifHlessHthanH10HareHundeliverable,HalternateHnotificationHmethodH(likeHemail)HmayHbeHuseH

-ifHmoreHthanH10HareHundeliverable,HmustHpostHcontactHinfoHtoHwebHpage.H
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