1|Page
HCCA CHC EXAM NEWEST 2026 ACTUAL EXAM TEST BANK|
HCCA CERTIFIED HEALTHCARE COMPLIANCE AND
PRIVACY CREDENTIAL EXAM PREP WITH COMPLETE 800
REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+
Which of the following agencies indicate a self-evaluation after
discovery of potentially fraudulent acts?
a. CMS
b. OIG
c. OCR
d. OSHA - Correct Answer -b. OIG
Health Care Financing Administration (HCFA) encouraged one of the
following to promote consistency in interpretation of claims?
a. Education
b. Reporting
c. Discipline
d. Statistical sampling - Correct Answer -d. Statistical sampling
How often does The U.S. Department of Health & Human Services
(HHS) OIG publish the OIG Work Plan?
a. Annually
b. Bi-annually
pg. 1
,2|Page
c. Monthly
d. Weekly - Correct Answer -c. Monthly
The Office of Inspector General's (OIG) work planning process is
dynamic and adjustments are made throughout the year to meet priorities
and to anticipate and respond to emerging issues with the resources
available. In order to enhance transparency around OIG's continuous
work planning efforts, OIG will update its Work Plan website monthly.
All boards have three fiduciary duties: duty of care, duty of loyalty, and
___________
a. Duty to the shareholders
b. Duty of confidentiality
c. Duty of obedience
d. None of the above - Correct Answer -c. Duty of obedience
Typically, the compliance committee should develop objective and goals
on:
A. monthly basis
B. continuous basis
C. quarterly basis
D. annual basis - Correct Answer -D- Annual Basis
Who should participate in developing goals and objectives for the
compliance program?
pg. 2
,3|Page
A. Compliance Committee
B. Risk Managers
C. Board
D. MDs - Correct Answer -A. Compliance Committee
After an investigation, it was discovered that the organization's
reputation is a stake. What should a Compliance Professional do next?
A. Report the findings to the board
B. Contact legal counsel
C. Advise the CEO and recommend next steps
D. Self-disclose to the OIG - Correct Answer -B. Contact legal counsel
When a medical record is not consistent with the selected diagnosis
code, the coder should contact the:
A. attending nurse.
B. attending physician.
C. billing supervisor.
D. compliance auditor - Correct Answer -B. attending physician.
What third-party plays a critical role in accurate billing and
reimbursement?
a. Billing agencies
b. Laboratories
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, 4|Page
c. Nursing facilities
d. Office of Inspector General - Correct Answer -a. Billing agencies
What should be readily accessible to all coding staff?
a. Billing certification
b. CPT® code book
c. All essential coding resources
d. Nursing handbook - Correct Answer -c. All essential coding resources
Which certificate is issued to a laboratory that enables the entity to
conduct moderate- to high-complexity laboratory testing until the entity
is determined by survey to comply with the CLIA regulations
a. Certificate of Compliance
b. Certificate for Provider-performed Microscopy procedures
c. Certificate of Registration
d. Certificate of Waiver - Correct Answer -c. Certificate of Registration.
Enables the entity to conduct moderate-to high-complexity laboratory
testing until the entity is determined by survey to be in compliance with
the CLIA regulations.
When creating and implementing a compliance plan, the compliance
officer should have
A. no approval
pg. 4
HCCA CHC EXAM NEWEST 2026 ACTUAL EXAM TEST BANK|
HCCA CERTIFIED HEALTHCARE COMPLIANCE AND
PRIVACY CREDENTIAL EXAM PREP WITH COMPLETE 800
REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+
Which of the following agencies indicate a self-evaluation after
discovery of potentially fraudulent acts?
a. CMS
b. OIG
c. OCR
d. OSHA - Correct Answer -b. OIG
Health Care Financing Administration (HCFA) encouraged one of the
following to promote consistency in interpretation of claims?
a. Education
b. Reporting
c. Discipline
d. Statistical sampling - Correct Answer -d. Statistical sampling
How often does The U.S. Department of Health & Human Services
(HHS) OIG publish the OIG Work Plan?
a. Annually
b. Bi-annually
pg. 1
,2|Page
c. Monthly
d. Weekly - Correct Answer -c. Monthly
The Office of Inspector General's (OIG) work planning process is
dynamic and adjustments are made throughout the year to meet priorities
and to anticipate and respond to emerging issues with the resources
available. In order to enhance transparency around OIG's continuous
work planning efforts, OIG will update its Work Plan website monthly.
All boards have three fiduciary duties: duty of care, duty of loyalty, and
___________
a. Duty to the shareholders
b. Duty of confidentiality
c. Duty of obedience
d. None of the above - Correct Answer -c. Duty of obedience
Typically, the compliance committee should develop objective and goals
on:
A. monthly basis
B. continuous basis
C. quarterly basis
D. annual basis - Correct Answer -D- Annual Basis
Who should participate in developing goals and objectives for the
compliance program?
pg. 2
,3|Page
A. Compliance Committee
B. Risk Managers
C. Board
D. MDs - Correct Answer -A. Compliance Committee
After an investigation, it was discovered that the organization's
reputation is a stake. What should a Compliance Professional do next?
A. Report the findings to the board
B. Contact legal counsel
C. Advise the CEO and recommend next steps
D. Self-disclose to the OIG - Correct Answer -B. Contact legal counsel
When a medical record is not consistent with the selected diagnosis
code, the coder should contact the:
A. attending nurse.
B. attending physician.
C. billing supervisor.
D. compliance auditor - Correct Answer -B. attending physician.
What third-party plays a critical role in accurate billing and
reimbursement?
a. Billing agencies
b. Laboratories
pg. 3
, 4|Page
c. Nursing facilities
d. Office of Inspector General - Correct Answer -a. Billing agencies
What should be readily accessible to all coding staff?
a. Billing certification
b. CPT® code book
c. All essential coding resources
d. Nursing handbook - Correct Answer -c. All essential coding resources
Which certificate is issued to a laboratory that enables the entity to
conduct moderate- to high-complexity laboratory testing until the entity
is determined by survey to comply with the CLIA regulations
a. Certificate of Compliance
b. Certificate for Provider-performed Microscopy procedures
c. Certificate of Registration
d. Certificate of Waiver - Correct Answer -c. Certificate of Registration.
Enables the entity to conduct moderate-to high-complexity laboratory
testing until the entity is determined by survey to be in compliance with
the CLIA regulations.
When creating and implementing a compliance plan, the compliance
officer should have
A. no approval
pg. 4
