HCCA CHPC ADVANCED PRACTICE SCRIPT
2026 REAL QUESTIONS WITH PRECISE
SOLUTIONS GRADED A+
⩥Corporate Integrity Agreement (CIA). Answer: A compliance program
imposed by the government, which involves substantial government
oversight and outside expert involvement in the organization's
compliance activities and is generally required as a condition of settling
a fraud and abuse investigation. Negotiated primarily between the OIG
and the health care entity.
⩥Seven Elements of a Compliance Program. Answer: 1. Standards of
Conduct
2. Oversight & Resources
3. Education & Training
4. Auditing and Monitoring
5. Consistent and appropriate discipline
6. Reporting Processes
7. Response and Prevention of Problems
⩥LEIE (List of Excluded Individuals). Answer: A list of individuals and
organizations that are excluded from participating/billing the federal
healthcare program (i.e. Medicare). This list is updated monthly and is
the responsibility of the organization to check their list of physicians,
, employees, etc. against this to prevent a violation of the False Claims
Act.
⩥Medicare Cost Report. Answer: A report that contains provider
information such as facility characteristics, utilization data, cost and
charges by the cost center. If administrator's or business associate pay
appears on this that is excluded from the LEIE, it may be liable as a
FCA.
⩥5 to 50 Years. Answer: Mandatory Exclusion (felony) length
⩥Up to 5 Years. Answer: Permissive exclusion (misdemeanor) length
⩥State Medicaid Exclusion List. Answer: State Version of LEIE, also
monitored monthly
⩥False Claims Act. Answer: Prohibits anyone from knowingly
submitting or causing to be submitted a false or fraudulent claim to the
government.
⩥Anti-Kickback Law. Answer: Prohibits the solicitation, receiving,
offering, or paying of any remuneration directly or indirectly in cash or
in kind in exchange that are payable by a federal Healthcare program.
2026 REAL QUESTIONS WITH PRECISE
SOLUTIONS GRADED A+
⩥Corporate Integrity Agreement (CIA). Answer: A compliance program
imposed by the government, which involves substantial government
oversight and outside expert involvement in the organization's
compliance activities and is generally required as a condition of settling
a fraud and abuse investigation. Negotiated primarily between the OIG
and the health care entity.
⩥Seven Elements of a Compliance Program. Answer: 1. Standards of
Conduct
2. Oversight & Resources
3. Education & Training
4. Auditing and Monitoring
5. Consistent and appropriate discipline
6. Reporting Processes
7. Response and Prevention of Problems
⩥LEIE (List of Excluded Individuals). Answer: A list of individuals and
organizations that are excluded from participating/billing the federal
healthcare program (i.e. Medicare). This list is updated monthly and is
the responsibility of the organization to check their list of physicians,
, employees, etc. against this to prevent a violation of the False Claims
Act.
⩥Medicare Cost Report. Answer: A report that contains provider
information such as facility characteristics, utilization data, cost and
charges by the cost center. If administrator's or business associate pay
appears on this that is excluded from the LEIE, it may be liable as a
FCA.
⩥5 to 50 Years. Answer: Mandatory Exclusion (felony) length
⩥Up to 5 Years. Answer: Permissive exclusion (misdemeanor) length
⩥State Medicaid Exclusion List. Answer: State Version of LEIE, also
monitored monthly
⩥False Claims Act. Answer: Prohibits anyone from knowingly
submitting or causing to be submitted a false or fraudulent claim to the
government.
⩥Anti-Kickback Law. Answer: Prohibits the solicitation, receiving,
offering, or paying of any remuneration directly or indirectly in cash or
in kind in exchange that are payable by a federal Healthcare program.
