HCCA CHC STUDY QUESTIONS COMPLETE 2024 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ BRAND NEW!!
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.
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
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
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
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
Also known as a BBA "three strikes rule"
Which statement is TRUE regarding compliance programs?
a. Compliance programs are considered more dangerous if they are
developed but not implemented.
b. Compliance programs can detect but not prevent criminal conduct
c. Compliance programs are only required by law for healthcare
entities that have more than $500,000 in annual revenue.
d. Compliance programs are not mandated by law. - ANSWER >>>>a.
Compliance programs are considered more dangerous if they are
developed but not implemented.
Formal statement outlining a plan for a specified subject area. It
usually cites state and/or federal required actions or standards.
a. CAP
b. Procedure document
c. Policy document
d. Legal standards - ANSWER >>>>c. Policy document
CAP - outlines corrective action plan
Procedure - describes process/steps under a certain criteria
Legal standards - mandatory action or rule
Life cycle of records management - ANSWER >>>>Creation
,Use
Maintenance
Retention
Disposition
Standards of Conduct (written P&Ps) - ANSWER >>>>Demonstrate
the organization's ethical attitude and its "enterprise-wide" emphasis
on compliance with all applicable laws and regulations
Code of Conduct: Content Checklist - ANSWER >>>>• Demonstrate
system wide emphasis on compliance with all applicable laws and
regulations
• Written plainly and concisely so all employees can understand the
standards
• Includes internal and external regulations
• Mentions organizational policies without completely restating them
• Is consistent with company policies and procedures
• Includes management's responsibility to explain and enforce the
code
Ref: SCCE Compliance & Ethics Manual, Chapter 2
https://compliancecosmos.org/essential-elements-effective-ethics-and-
compliance-program
Code of Conduct and Employees - ANSWER >>>>All employees
must receive, read, and understand the standards.
A supervisor should explain the standards and ANSWER any
questions.
Employee should attest in writing that they have received, read, and
understood the standards
Employee compliance with standards must be enforced through
appropriate discipline when necessary
Discipline for non-compliance should be stated in the standards
Code of Conduct Purpose - ANSWER >>>>• To present specific
guidelines for employees to follow
• To confirm that all employees comprehend what is required of them
, • Toa1providea1aa1processa1fora1propera1decisiona1making
• Toa1confirma1thata1employeesa1puta1standardsa1intoa1everydaya1practice
• Toa1elevatea1corporatea1performancea1ina1basica1businessa1relationship
• Toa1confirma1thata1thea1organizationa1upholdsa1anda1supportsa1p
ropera1compliancea1conduct
Everya1organizationa1needsa1policiesa1anda1proceduresa1for:a1-a1ANSWER
>>>>•a1Internala1assessments
• Recorda1retentiona1(where,a1howa1long)
• Self-disclosure
• Medicarea1sanctiona1checksa1(LEIE)
• Billinga1policies
• Credita1balance
• Noa1chargea1visits
• Incomplete/unsuccessfula1procedure
• Documentationa1requirements
Whena1shoulda1Codea1ofa1Conducta1bea1distributeda1toa1newa1employees
?a1-a1ANSWERa1>>>>Musta1bea1distributeda1withina190a1daysa1ofa1hire
RAT-STATSa1is:a1(selecta1alla1thata1apply)
a. statisticala1softwarea1toa1selecta1randomizeda1samples
b. governmenta1statisticala1rulea1softwarea1developeda1ina1thea11970s
c. freea1hospitala1statisticala1software
d. recommendeda1bya1OIG,a1CMSa1anda1othera1agenciesa1toa1selecta1r
andoma1samplesa1-a1ANSWERa1>>>>a.a1b.a1d.
Thea1softwarea1cana1bea1useda1bya1othera1entitiesa1othera1thana1hospital
s,a1soa1optiona1"c."a1isa1nota1preciselya1accurate,a1buta1ita1isa1freea1toa1use
a1anda1cana1bea1downloadeda1here:a1https://oig.hhs.gov/compliance/rat-
stats/index.asp
Whata1isa1thea1terma1calleda1fora1ana1organization'sa1commitmenta1toa1c
ompliancea1bya1management,a1employees,a1anda1contractors.a1Statem
enta1shoulda1summarizea1ethicala1behaviora1anda1legala1principlesa1und
era1whicha1thea1healthcarea1organizationa1operates?a1-
a1ANSWERa1>>>>Codea1ofa1Conduct
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ BRAND NEW!!
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.
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
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
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
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
Also known as a BBA "three strikes rule"
Which statement is TRUE regarding compliance programs?
a. Compliance programs are considered more dangerous if they are
developed but not implemented.
b. Compliance programs can detect but not prevent criminal conduct
c. Compliance programs are only required by law for healthcare
entities that have more than $500,000 in annual revenue.
d. Compliance programs are not mandated by law. - ANSWER >>>>a.
Compliance programs are considered more dangerous if they are
developed but not implemented.
Formal statement outlining a plan for a specified subject area. It
usually cites state and/or federal required actions or standards.
a. CAP
b. Procedure document
c. Policy document
d. Legal standards - ANSWER >>>>c. Policy document
CAP - outlines corrective action plan
Procedure - describes process/steps under a certain criteria
Legal standards - mandatory action or rule
Life cycle of records management - ANSWER >>>>Creation
,Use
Maintenance
Retention
Disposition
Standards of Conduct (written P&Ps) - ANSWER >>>>Demonstrate
the organization's ethical attitude and its "enterprise-wide" emphasis
on compliance with all applicable laws and regulations
Code of Conduct: Content Checklist - ANSWER >>>>• Demonstrate
system wide emphasis on compliance with all applicable laws and
regulations
• Written plainly and concisely so all employees can understand the
standards
• Includes internal and external regulations
• Mentions organizational policies without completely restating them
• Is consistent with company policies and procedures
• Includes management's responsibility to explain and enforce the
code
Ref: SCCE Compliance & Ethics Manual, Chapter 2
https://compliancecosmos.org/essential-elements-effective-ethics-and-
compliance-program
Code of Conduct and Employees - ANSWER >>>>All employees
must receive, read, and understand the standards.
A supervisor should explain the standards and ANSWER any
questions.
Employee should attest in writing that they have received, read, and
understood the standards
Employee compliance with standards must be enforced through
appropriate discipline when necessary
Discipline for non-compliance should be stated in the standards
Code of Conduct Purpose - ANSWER >>>>• To present specific
guidelines for employees to follow
• To confirm that all employees comprehend what is required of them
, • Toa1providea1aa1processa1fora1propera1decisiona1making
• Toa1confirma1thata1employeesa1puta1standardsa1intoa1everydaya1practice
• Toa1elevatea1corporatea1performancea1ina1basica1businessa1relationship
• Toa1confirma1thata1thea1organizationa1upholdsa1anda1supportsa1p
ropera1compliancea1conduct
Everya1organizationa1needsa1policiesa1anda1proceduresa1for:a1-a1ANSWER
>>>>•a1Internala1assessments
• Recorda1retentiona1(where,a1howa1long)
• Self-disclosure
• Medicarea1sanctiona1checksa1(LEIE)
• Billinga1policies
• Credita1balance
• Noa1chargea1visits
• Incomplete/unsuccessfula1procedure
• Documentationa1requirements
Whena1shoulda1Codea1ofa1Conducta1bea1distributeda1toa1newa1employees
?a1-a1ANSWERa1>>>>Musta1bea1distributeda1withina190a1daysa1ofa1hire
RAT-STATSa1is:a1(selecta1alla1thata1apply)
a. statisticala1softwarea1toa1selecta1randomizeda1samples
b. governmenta1statisticala1rulea1softwarea1developeda1ina1thea11970s
c. freea1hospitala1statisticala1software
d. recommendeda1bya1OIG,a1CMSa1anda1othera1agenciesa1toa1selecta1r
andoma1samplesa1-a1ANSWERa1>>>>a.a1b.a1d.
Thea1softwarea1cana1bea1useda1bya1othera1entitiesa1othera1thana1hospital
s,a1soa1optiona1"c."a1isa1nota1preciselya1accurate,a1buta1ita1isa1freea1toa1use
a1anda1cana1bea1downloadeda1here:a1https://oig.hhs.gov/compliance/rat-
stats/index.asp
Whata1isa1thea1terma1calleda1fora1ana1organization'sa1commitmenta1toa1c
ompliancea1bya1management,a1employees,a1anda1contractors.a1Statem
enta1shoulda1summarizea1ethicala1behaviora1anda1legala1principlesa1und
era1whicha1thea1healthcarea1organizationa1operates?a1-
a1ANSWERa1>>>>Codea1ofa1Conduct
