CHC LATEST 2026 STUDY GUIDE QUESTIONS AND
SOLUTIONS RATED A+
✔✔The majority of fraud and abuse violations relate to irregularities in:
a. treatment
b. diagnosis
c. billing
d. scheduling - ✔✔c. billing
✔✔Which of the following words best describe the approach to punishment of the
Federal Sentencing Guidelines:
a. case-specific
b. draconian
c. consistent
d. remedial - ✔✔a. case-specific
FSG takes numerous factors into account when determining punishment. The range of
penalties that may be applied to a given violation is broad, and organizations may affect
the severity of their punishment with their actions subsequent to the violation
✔✔Which of the following groups may request information from the Healthcare Integrity
and Protection Data Bank?
a. professional societies with formal peer review
b. quality improvements organizations
c. plaintiff's attorneys
d. state agencies - ✔✔d. state agencies
Other groups may include federal government, health plans, healthcare practitioners.
Researchers are only allowed to obtain statistical data form the data bank.
✔✔Research suggests that the largest proportions of adverse events attributable to
negligence occur in the:
a. post-trauma unit
b. surgery unit
c. maternity unit
d. emergency unit - ✔✔d. emergency unit
✔✔According to title II of HIPAA, disclosure of Protected Health Information related to
which of the following actions requires the patient's express written authorization?
a. state in which the treatment occur
b. health care operations
c. treatment
d. payment - ✔✔a. state in which the treatment occur
, A covered entity may disclose PHI for TPO (treatment, payment, and healthcare
operations)
✔✔Which of the following groups is least likely to report errors:
a. primary care physicians
b. support staff
c. independent contractors
d. nurses - ✔✔c. independent contractors
✔✔Why does Healthcare Quality Improvement Act provide confidentiality and legal
immunity for health care peer review processes?
a. to prevent malpractice suits
b. to discourage complaints by patients
c. to encourage participation by physicians
d. to maintain a sterile work environment - ✔✔c. to encourage participation by
physicians
The Healthcare Quality Improvement Act provides confidentiality and legal immunity for
healthcare Peer Review process to encourage participation by physicians.
✔✔Which type of subpoena calls for the delivery of certain documents to the court?
a. subpoena habeas corpus
b. subpoena ad testificandum
c. subpoena add infinitum
d. subpoena duces tectum - ✔✔d. subpoena duces tectum
"subpoena ad testificandum" - means the court demands specific person appear and
give testimony.
The other options are not legal terms.
✔✔Which of the following is generally NOT included in an Explanation of Benefits
(EOB):
a. date of service
b. insurance code for service
c. doctor's fee
d. patient's medical history - ✔✔d. patient's medical history
EOB only explains the elements of the medical treatment that are covered by health
insurance policy
✔✔A healthcare facility's income statement is an example of:
a. baseline audit
b. retrospective audit
c. concurrent audit
SOLUTIONS RATED A+
✔✔The majority of fraud and abuse violations relate to irregularities in:
a. treatment
b. diagnosis
c. billing
d. scheduling - ✔✔c. billing
✔✔Which of the following words best describe the approach to punishment of the
Federal Sentencing Guidelines:
a. case-specific
b. draconian
c. consistent
d. remedial - ✔✔a. case-specific
FSG takes numerous factors into account when determining punishment. The range of
penalties that may be applied to a given violation is broad, and organizations may affect
the severity of their punishment with their actions subsequent to the violation
✔✔Which of the following groups may request information from the Healthcare Integrity
and Protection Data Bank?
a. professional societies with formal peer review
b. quality improvements organizations
c. plaintiff's attorneys
d. state agencies - ✔✔d. state agencies
Other groups may include federal government, health plans, healthcare practitioners.
Researchers are only allowed to obtain statistical data form the data bank.
✔✔Research suggests that the largest proportions of adverse events attributable to
negligence occur in the:
a. post-trauma unit
b. surgery unit
c. maternity unit
d. emergency unit - ✔✔d. emergency unit
✔✔According to title II of HIPAA, disclosure of Protected Health Information related to
which of the following actions requires the patient's express written authorization?
a. state in which the treatment occur
b. health care operations
c. treatment
d. payment - ✔✔a. state in which the treatment occur
, A covered entity may disclose PHI for TPO (treatment, payment, and healthcare
operations)
✔✔Which of the following groups is least likely to report errors:
a. primary care physicians
b. support staff
c. independent contractors
d. nurses - ✔✔c. independent contractors
✔✔Why does Healthcare Quality Improvement Act provide confidentiality and legal
immunity for health care peer review processes?
a. to prevent malpractice suits
b. to discourage complaints by patients
c. to encourage participation by physicians
d. to maintain a sterile work environment - ✔✔c. to encourage participation by
physicians
The Healthcare Quality Improvement Act provides confidentiality and legal immunity for
healthcare Peer Review process to encourage participation by physicians.
✔✔Which type of subpoena calls for the delivery of certain documents to the court?
a. subpoena habeas corpus
b. subpoena ad testificandum
c. subpoena add infinitum
d. subpoena duces tectum - ✔✔d. subpoena duces tectum
"subpoena ad testificandum" - means the court demands specific person appear and
give testimony.
The other options are not legal terms.
✔✔Which of the following is generally NOT included in an Explanation of Benefits
(EOB):
a. date of service
b. insurance code for service
c. doctor's fee
d. patient's medical history - ✔✔d. patient's medical history
EOB only explains the elements of the medical treatment that are covered by health
insurance policy
✔✔A healthcare facility's income statement is an example of:
a. baseline audit
b. retrospective audit
c. concurrent audit
