HCCA - CHC Study Questions

HCCAfp-fpCHCfpStudyfpQuestionsfpWithfpVerifiedfpAnswerfp




TruefporfpFalse:

ThefpACAfprequiresfpthatfpallfpprovidersfpadoptfpafpcompliancefpplanfpasfpafpconditionfpo
ffpenrollmentfpwithfpMedicare,fpMedicaid,fpandfpChildren'sfpHealthfpInsurancefpProgramfp(
CHIP).fp-fpTrue



ref.fpACAfpsectionfp6102



AccordingfptofpHHS-OIGfp-
fpwhatfparefpthreefpimportantfpreasonsfpforfpproperfpdocumentationfpinfpCompliance?
fp(hint:fpprotections)fp-fp1.Protectfpourfpprograms

2.Protectfpyourfppatients

3.ProtectfpthefpProvider



https://oig.hhs.gov/newsroom/podcasts/2011/heat/heat09-trans.asp#:~:text=Proper
%20documentation%2C%20both%20in%20patients,to%20protect%20you%20the%20provider.



AtfpwhichfplevelfpoffpthefpMedicarefpPartfpAfporfpPartfpBfpappealsfpprocessfpisfpthefpapp
ealfpdecisionfpbyfpthefpOfficefpoffpMedicarefpHearingsfpandfpAppealsfp(OMHA)?

a.fpfirstfplevelfpoffpappeal

b.fpsecondfplevelfpoffpappeal

c.fpthirdfplevelfpoffpappeal

d.fpfourthfplevelfpoffpappealfp-fpc.fp.fpthirdfplevelfpoffpappeal



Fristfplevelfp-fpredeterminationfpbyfpMedicarefpcontractor

,Secondfplevelfp-fpreconsiderationfpbyfpIndependentfpcontractor

Thirdfpappealfp-fpAdministrativefpLawfpJudgefp(ALJ)fphearing

Fourthfpappealfp-fpreviewfpbyfpMedicarefpAppealsfpCouncil

Fifthfpappealfp-fpreviewfpinfpFederalfpDistrictfpCourt

https://www.hhs.gov/about/agencies/omha/the-appeals-process/index.html



WhatfpshouldfpCCOfpbefpablefptofpdo?
fp(Whatfpskillsfpshouldfpthisfppersonfphave?)fpChoosefpallfpthatfpapply.

a.fpLeadershipfpskills.

b.fpOverseefpthefpcodingfpdepartment.

c.fpSkillsfptofpdesignfpandfpimplementfpafpcompliancefpprogram.

d.fpBefpablefptofpanticipatefpnewfpriskfpareas.

e.fpPracticalfpexperiencefpwithfpdocumentingfpmedicalfpnecessity.fp-fpa.fpLeadershipfpskills,

c.fpSkillsfptofpdesignfpandfpimplementfpafpcompliancefpprogram,fpand

d.fpBefpablefptofpanticipatefpnewfpriskfpareas.



Whichfpoffpthefpfollowingfpisfpanfpabsolutefpnecessityfpinfporderfptofphavefpafpsuccessfulf
pCompliancefpProgram?

a.fpcontinuousfptrainingfpandfpimprovements

b.fpeffectivefpreportingfppath

c.fpnon-retaliationfpforfpwhistleblowers

d.fpreliablefpandfpequalfpdisciplinefp-fpc.fpnon-retaliationfpforfpwhistleblowers



AfpCompliancefpProgramfpwithfpwellfpwrittenfppoliciesfpandfpprocedures:

a.fpcanfpbefpsuccessfulfpiffpconsistentlyfpreviewedfpandfpmaintained

b.fpcannotfpbefpeffectivefpduefptofpthefpsheerfpvolumefppresented

c.fpwillfpbefpeffectivefpiffpreadfpbyfpmanagement

,d.fpwillfpnotfpbefpsuccessfulfpwithoutfpthefpproperfpoversightfp-
fpd.fpwillfpnotfpbefpsuccessfulfpwithoutfpthefpproperfpoversight



Regardlessfpoffphavingfpthefpbestfpwrittenfppoliciesfpinfpplacefpthatfparefpreviewed/
maintainedfpconsistently,fpandfpreadfpandfpdisseminatedfpaccordingly,fpwillfpfailfpiffptheref
pisfpnofpproperfpoversightfptofpensurefptheyfparefpactuallyfpbeingfpfollowedfpandfpunderst
ood.



AfpCompliancefpOfficerfpcanfpachievefpafphigherfplevelfpoffpcompliancefpandfpethicsfpenga
gementfpby:

a.fpensuringfpleadershipfpreadsfpthefppolicies

b.fpincreasingfpmanagementfpinvolvement

c.fprespondingfptofpcompliancefphotlinefpcalls

d.fpmonitoringfpthefpcodefpoffpconductfp-fpb.fpincreasingfpmanagementfpinvolvement.



Compliancefpisfpeveryone'sfpresponsibility,fpbutfpmanagementfpinvolvementfpisfpcrucial.fpT
heyfphavefpafpdirectfpcontactfpwithfpemployees,fptheyfpknowfpandfpunderstandfptheirfpsta
ff'sfpneedsfpandfpconcerns,fpandfphavefpthefpmostfpinfluencefpoverfpemployee'sfpactionsfp
andfpattitudes.fpEmployeesfpmostfplikelyfpusefptheirfpdirectfpmanager(s)fptofpraisefpconcer
nsfpandfpthefpreasonfptheyfparefpsofpcriticalfpforfpanfporganizationfptofpfosterfpafpculturef
poffpcompliance.



Whichfpoffpthefpfollowingfprequiresfpprovidersfptofpbefppermanentlyfpexcludedfpfromfpallf
pfederalfphealthfpcarefpprogramsfpiffpfoundfpguiltyfpoffpafphealthcarefprelatedfpfraudfpafpt
hirdfptime:

a.fpDeficitfpReductionfpActfpoffp2005

b.fpFalsefpClaimsfpAct

c.fpBalancefpBudgetfpActfpoffp1997

d.fpSocialfpSecurityfpActfpsectionfp1128dfp-fpc.fpBalancefpBudgetfpActfpoffp1997

, AlsofpknownfpasfpafpBBAfp"threefpstrikesfprule"



WhatfpsectionfpoffpthefpACAfppreventsfpdiscriminationfpagainstfpindividualsfpwithfplimitedf
pEnglishfpproficiencyfp(LEP),fpandfpalsofpprohibitsfpdiscriminationfpinfphealthcarefpprogram
sfpandfpactivitiesfpthatfpreceivefpfederalfpfunding,fpbasedfponfprace,fpcolor,fpnationalfporig
in,fpsex,fpage,fporfpdisability.

a.fpACAfpsectionfp6102

b.fpACAfpsectionfp1557

c.fpACAfpsectionfp6002fp-fpb.fpACAfpsectionfp1557fpisfpthefpcorrectfpanswer.




a.fpACAfpsectionfp6102fprequiresfpowners,fpoperators,fpandfpadministratorsfpoffpLTCfpfacili
tiesfptofpadoptfpeffectivefpcompliance.

c.fpACAfpsectionfp6002fprequiresfpthefpestablishmentfpoffpafptransparencyfpprogram,fpnow
fpknownfpasfpCMSfpOpenfpPayments.



WhichfpstatementfpisfpTRUEfpregardingfpcompliancefpprograms?

a.fpCompliancefpprogramsfparefpconsideredfpmorefpdangerousfpiffptheyfparefpdevelopedfp
butfpnotfpimplemented.

b.fpCompliancefpprogramsfpcanfpdetectfpbutfpnotfppreventfpcriminalfpconduct

c.fpCompliancefpprogramsfparefponlyfprequiredfpbyfplawfpforfphealthcarefpentitiesfpthatfph
avefpmorefpthanfp$500,000fpinfpannualfprevenue.

d.fpCompliancefpprogramsfparefpnotfpmandatedfpbyfplaw.fp-
fpa.fpCompliancefpprogramsfparefpconsideredfpmorefpdangerousfpiffptheyfparefpdevelopedf
pbutfpnotfpimplemented.



Anfpindividual'sfpunderstandingfpoffpthefpcompliancefpaspectsfpoffptheirfpjobfpcanfpBESTfp
befpenhancedfpbyfpincludingfpcompliancefpin:

a.fpannualfpevaluations