HCCA CHC/CHPC COMPLIANCE APPLICATION EXAM
PREP COMPLETE QUESTIONS FOR CERTIFIED IN
HEALTHCARE COMPLIANCE (CHC) & CERTIFIED IN
HEALTHCARE PRIVACY COMPLIANCE (CHPC)
CERTIFICATION WITH 100% VERIFIED ANSWERS AND
RATIONALES
QUESTION: 1
What is the primary purpose of a corporate compliance program in healthcare?
A) To increase hospital revenue
B) To prevent, detect, and correct fraud, waste, and abuse (Correct Option)
C) To reduce staff salaries
D) To eliminate all billing errors
RATIONALE: Corporate compliance programs aim to identify and correct
noncompliance before government intervention.
QUESTION: 2
The seven elements of an effective compliance program under the Federal
Sentencing Guidelines include all of the following EXCEPT:
A) Written policies and procedures
B) Designated compliance officer
C) Effective training and education
D) Guaranteed immunity from prosecution (Correct Option)
,RATIONALE: The seven elements do not guarantee immunity; they provide
mitigation if effective.
QUESTION: 3
Which federal law is commonly known as the "Anti-Kickback Statute"?
A) Stark Law
B) 42 U.S.C. § 1320a-7b(b) (Correct Option)
C) False Claims Act
D) HIPAA
RATIONALE: The Anti-Kickback Statute prohibits offering or receiving
remuneration for referrals of federal healthcare program business.
QUESTION: 4
What is the intent requirement under the federal Anti-Kickback Statute?
A) No intent required; strict liability
B) Knowingly and willfully (Correct Option)
C) Negligently
D) Recklessly
RATIONALE: AKS requires knowing and willful intent to violate the statute.
QUESTION: 5
The Stark Law (Physician Self-Referral Law) prohibits:
A) Any referral between physicians
B) Physician referral of Medicare patients to entities with which physician has a
financial relationship (Correct Option)
C) Referrals to hospitals
D) All referrals for lab services
,RATIONALE: Stark Law applies specifically to Medicare/Medicaid and designated
health services.
QUESTION: 6
Unlike the Anti-Kickback Statute, the Stark Law:
A) Requires proof of intent
B) Is a strict liability statute (Correct Option)
C) Only applies to hospitals
D) Has no exceptions
RATIONALE: Stark Law violation does not require proof of intent; it is strict liability.
QUESTION: 7
Which of the following is an exception to the Stark Law?
A) Any employment arrangement
B) Bona fide employment relationship (Correct Option)
C) Any rental agreement
D) Any investment interest
RATIONALE: Bona fide employment is a Stark exception with specific
requirements.
QUESTION: 8
The False Claims Act (FCA) imposes liability for:
A) Only intentional fraud
B) Knowingly presenting false or fraudulent claims to the government (Correct
Option)
C) Only reckless conduct
D) Negligent billing errors
, RATIONALE: FCA requires knowledge (actual knowledge, deliberate ignorance, or
reckless disregard).
QUESTION: 9
Under the False Claims Act, "knowingly" includes:
A) Only actual knowledge
B) Actual knowledge, deliberate ignorance, or reckless disregard (Correct Option)
C) Only deliberate ignorance
D) Only reckless disregard
RATIONALE: FCA defines knowingly to include three mental states.
QUESTION: 10
What is the penalty range per false claim under the False Claims Act?
A) 1,000 −5,000
B) 13,946 −27,894 (adjusted for inflation) (Correct Option)
C) 100 −1,000
D) 50,000 −100,000
RATIONALE: FCA penalties are adjusted annually; current range approximately
13,000 −28,000 per claim.
QUESTION: 11
The qui tam provision of the False Claims Act allows:
A) Only government to sue
B) Private individuals to file lawsuits on behalf of the government (Correct
Option)
C) Only defendants to sue
D) Only attorneys to file
PREP COMPLETE QUESTIONS FOR CERTIFIED IN
HEALTHCARE COMPLIANCE (CHC) & CERTIFIED IN
HEALTHCARE PRIVACY COMPLIANCE (CHPC)
CERTIFICATION WITH 100% VERIFIED ANSWERS AND
RATIONALES
QUESTION: 1
What is the primary purpose of a corporate compliance program in healthcare?
A) To increase hospital revenue
B) To prevent, detect, and correct fraud, waste, and abuse (Correct Option)
C) To reduce staff salaries
D) To eliminate all billing errors
RATIONALE: Corporate compliance programs aim to identify and correct
noncompliance before government intervention.
QUESTION: 2
The seven elements of an effective compliance program under the Federal
Sentencing Guidelines include all of the following EXCEPT:
A) Written policies and procedures
B) Designated compliance officer
C) Effective training and education
D) Guaranteed immunity from prosecution (Correct Option)
,RATIONALE: The seven elements do not guarantee immunity; they provide
mitigation if effective.
QUESTION: 3
Which federal law is commonly known as the "Anti-Kickback Statute"?
A) Stark Law
B) 42 U.S.C. § 1320a-7b(b) (Correct Option)
C) False Claims Act
D) HIPAA
RATIONALE: The Anti-Kickback Statute prohibits offering or receiving
remuneration for referrals of federal healthcare program business.
QUESTION: 4
What is the intent requirement under the federal Anti-Kickback Statute?
A) No intent required; strict liability
B) Knowingly and willfully (Correct Option)
C) Negligently
D) Recklessly
RATIONALE: AKS requires knowing and willful intent to violate the statute.
QUESTION: 5
The Stark Law (Physician Self-Referral Law) prohibits:
A) Any referral between physicians
B) Physician referral of Medicare patients to entities with which physician has a
financial relationship (Correct Option)
C) Referrals to hospitals
D) All referrals for lab services
,RATIONALE: Stark Law applies specifically to Medicare/Medicaid and designated
health services.
QUESTION: 6
Unlike the Anti-Kickback Statute, the Stark Law:
A) Requires proof of intent
B) Is a strict liability statute (Correct Option)
C) Only applies to hospitals
D) Has no exceptions
RATIONALE: Stark Law violation does not require proof of intent; it is strict liability.
QUESTION: 7
Which of the following is an exception to the Stark Law?
A) Any employment arrangement
B) Bona fide employment relationship (Correct Option)
C) Any rental agreement
D) Any investment interest
RATIONALE: Bona fide employment is a Stark exception with specific
requirements.
QUESTION: 8
The False Claims Act (FCA) imposes liability for:
A) Only intentional fraud
B) Knowingly presenting false or fraudulent claims to the government (Correct
Option)
C) Only reckless conduct
D) Negligent billing errors
, RATIONALE: FCA requires knowledge (actual knowledge, deliberate ignorance, or
reckless disregard).
QUESTION: 9
Under the False Claims Act, "knowingly" includes:
A) Only actual knowledge
B) Actual knowledge, deliberate ignorance, or reckless disregard (Correct Option)
C) Only deliberate ignorance
D) Only reckless disregard
RATIONALE: FCA defines knowingly to include three mental states.
QUESTION: 10
What is the penalty range per false claim under the False Claims Act?
A) 1,000 −5,000
B) 13,946 −27,894 (adjusted for inflation) (Correct Option)
C) 100 −1,000
D) 50,000 −100,000
RATIONALE: FCA penalties are adjusted annually; current range approximately
13,000 −28,000 per claim.
QUESTION: 11
The qui tam provision of the False Claims Act allows:
A) Only government to sue
B) Private individuals to file lawsuits on behalf of the government (Correct
Option)
C) Only defendants to sue
D) Only attorneys to file
