HCCA CHC STUDY QUESTIONS COMPLETE 2024 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+ BRAND NEW!!

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 h
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ave?) Choose all that apply.
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a. Leadership skills. ws


b. Oversee the coding department. ws ws ws


c. Skills to design and implement a compliance program.
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d. Be able to anticipate new risk areas.
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e. Practical experience with documenting medical necessity.
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- ANSWER >>>>a. Leadership skills,
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c. Skills to design and implement a compliance program, and
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d. Be able to anticipate new risk areas.
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Which of the following is an absolute necessity in order to have a
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successful Compliance Program? ws ws


a. continuous training and improvements ws ws ws


b. effective reporting path ws ws


c. non-retaliation for whistleblowers ws ws


d. reliable and equal discipline - ANSWER >>>>c. non-
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retaliation for whistleblowers ws ws




A Compliance Program with well written policies and procedures:
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a. can be successful if consistently reviewed and maintained
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b. cannot be effective due to the sheer volume presented
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c. will be effective if read by management
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d. will not be successful without the proper oversight - ANSWER
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>>>>d. will not be successful without the proper oversight
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A Compliance Officer can achieve a higher level of compliance and
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ethics engagement by:
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a. ensuring leadership reads the policies
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b. increasing management involvement ws ws

,c. responding to compliance hotline calls ws ws ws ws


d. monitoring the code of conduct - ws ws ws ws ws


ANSWER >>>>b. increasing management involvement
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Which of the following requires providers to be permanently exclud
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ed from all federal health care programs if found guilty of a health
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care related fraud a third time:
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a. Deficit Reduction Act of 2005ws ws ws ws


b. False Claims Act ws ws


c. Balance Budget Act of 1997 ws ws ws ws


d. Social Security Act section 1128 -
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ANSWER >>>>c. Balance Budget Act of 1997
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Also known as a BBA "three strikes rule"
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Which statement is TRUE regarding compliance programs?
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a. Compliance programs are considered more dangerous if they a
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re developed but not implemented.
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b. Compliance programs can detect but not prevent criminal conduct
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c. Compliance programs are only required by law for healthca ws ws ws ws ws ws ws ws


re entities that have more than $500,000 in annual revenue.
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d. Compliance programs are not mandated by law. - ws ws ws ws ws ws ws


ANSWER >>>>a. Compliance programs are considered more dang
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erous if they are developed but not implemented.
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Formal statement outlining a plan for a specified subject area. It us
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ually cites state and/or federal required actions or standards.
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a. CAP
b. Procedure document ws


c. Policy document ws


d. Legal standards - ANSWER >>>>c. Policy document
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CAP - outlines corrective action plan
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Procedure - ws


describes process/steps under a certain criteria Legal stand
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ards - mandatory action or rule
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Life cycle of records management - ANSWER >>>>Creation
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,Use Maintenan ws


ce Retention Di
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sposition

Standards of Conduct (written P&Ps) -ws ws ws ws ws


ANSWER >>>>Demonstrate the organization's ethical attitude an
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d its "enterprise-
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wide" emphasis on compliance with all applicable laws and regul
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ations

Code of Conduct: Content Checklist -
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ANSWER >>>>• Demonstrate system wide emphasis on complian
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ce with all applicable laws and regulations
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• Written plainly and concisely so all employees can understand t
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he standards
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• Includes internal and external regulations
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• Mentions organizational policies without completely restating them
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• Is consistent with company policies and procedures
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• Includes management's responsibility to explain and enforce t
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he code ws




Ref: SCCE Compliance & Ethics Manual, Chapter 2 https://complian
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cecosmos.org/essential-elements-effective-ethics-and- compliance- ws


program

Code of Conduct and Employees -
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wsANSWER >>>>All employees must receive, read, and understand
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sthe standards.ws


A supervisor should explain the standards and ANSWER any quest
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ions.
Employee should attest in writing that they have received, read, an
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d understood the standards
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Employee compliance with standards must be enforced through ap
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propriate discipline when necessary
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Discipline for non-compliance should be stated in the standards
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Code of Conduct Purpose -
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ANSWER >>>>• To present specific guidelines for employees to f
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ollow
• To confirm that all employees comprehend what is required of them
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, • To provide a process for proper decision making
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• To confirm that employees put standards into everyday practice
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• To elevate corporate performance in basic business relationship
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• To confirm that the organization upholds and supports prop
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er compliance conduct
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Every organization needs policies and procedures for: - ANSWER
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>>>>• Internal assessments
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• Record retention (where, how long)ws ws ws ws


• Self-disclosure
• Medicare sanction checks (LEIE) ws ws ws


• Billing policies ws


• Credit balance ws


• No charge visits
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• Incomplete/unsuccessful procedure ws


• Documentation requirements ws




When should Code of Conduct be distributed to new employees? -
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ANSWER >>>>Must be distributed within 90 days of hire
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RAT-STATS is: (select all that apply) ws ws ws ws ws


a. statistical software to select randomized samples
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b. government statistical rule software developed in the 1970s
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c. free hospital statistical software
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d. recommended by OIG, CMS and other agencies to select rand ws ws ws ws ws ws ws ws ws


om samples - ANSWER >>>>a. b. d.
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The software can be used by other entities other than hospitals, s
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o option "c." is not precisely accurate, but it is free to use and can
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be downloaded here: https://oig.hhs.gov/compliance/rat-
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stats/index.asp

What is the term called for an organization's commitment to compl
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iance by management, employees, and contractors. Statement sho
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uld summarize ethical behavior and legal principles under which th
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e healthcare organization operates? -
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ANSWER >>>>Code of Conduct
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