HCCA - CHC STUDY QUESTIONS AND CORRECT ANSWERS VERIFIED LATEST GRADE A +

HCCA - ws




CHC STUDY QUESTIONS AND CORRE
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CT ANSWERS VERIFIED LATEST 2023-
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2024 GRADE A + ws ws ws




True or False: ws ws




The ACA requires that all providers adopt a compliance
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plan as a condition of enrollment with Medicare, Medicaid
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, and Children's Health Insurance Program (CHIP). -
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CORRECT ANSWER >>True ws ws




ref. ACA section 6102
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According to HHS-OIG - ws ws ws




what are three important reasons for proper documentati
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on in Compliance? (hint: protections) -
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w s CORRECT ANSWER >>1.Protect our programs ws ws ws ws




2. Protect your patients ws ws




3. Protect the Provider ws ws

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




der.
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At which level of the Medicare Part A or Part B appeals pro
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cess is the appeal decision by the Office of Medicare Hearin
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gs and Appeals (OMHA)?
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a. first level of appeal
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b. second level of appeal ws ws ws




c. third level of appeal
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d. fourth level of appeal - ws ws ws ws




w s CORRECT ANSWER >>c. . third level of appeal
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Frist level - ws ws




ws redetermination by Medicare contractor Second level - ws ws ws ws ws ws




ws reconsideration by Independent contractor Third appeal ws ws ws ws ws w




-
s




ws Administrative Law Judge (ALJ) hearing Fourth appeal ws ws ws ws ws ws ws




- review by Medicare Appeals Council Fifth appeal -
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ws review in Federal District Court https://www.hhs.gov/ab
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out/agencies/omha/the-appeals- process/index.html ws

,What should CCO be able to do? (What skills should this pe
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rson have?) 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 neces
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sity. - CORRECT ANSWER >>a. Leadership skills,
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c. Skills to design and implement a compliance program,
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and
d. Be able to anticipate new risk areas.
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Which of the following is an absolute necessity in order to h
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ave a successful Compliance Program?
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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 - CORRECT ANSWER
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>>c. non-retaliation for whistleblowers
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, A Compliance Program with well written policies and proced
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ures:
a. can be successful if consistently reviewed an
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d 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 -
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CORRECT ANSWER >>d. will not be successful witho
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ut the proper oversight
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A Compliance Officer can achieve a higher level of complian
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ce and ethics engagement by:
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a. ensuring leadership reads the policies ws ws ws ws




b. increasing management involvement ws ws




c. responding to compliance hotline calls ws ws ws ws




d. monitoring the code of conduct - CORRECT ANSWER ws ws ws ws ws w s ws




>>b. increasing management involvement
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Which of the following requires providers to be permane
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ntly excluded from all federal health care
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