HCCA - CHPC

Prepare for the HCCA CHPC 2025 Exam with our comprehensive study guide, featuring all questions and verified correct answers. Designed for healthcare compliance professionals, this guide covers topics including HIPAA regulations, Stark Law, fraud and abuse, risk assessment, compliance auditing, corrective action plans, ethics, reporting mechanisms, and program effectiveness. Each question includes the topic, correct answer, and detailed rationale to enhance understanding and exam readiness. Whet...

CERTIFIED HEALTHCARE CONSTRUCTOR (CHC) 2024 PRACTICE EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ A compliance professional has been working with a department director to implement a new policy regarding timely completion of medical records. Which of the following should be completed by the department manager to promote compliance with the new policy? a. Statistically valid sampling audit b. Monitoring c. Discovery Audit d. Retrospective Audit - COR...

HCCA- CHC EXAM, PRACTICE EXAM AND STUDY GUIDE NEWEST 2024 ACTUAL EXAM 140+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH EXPLANATIONS (VERIFIED ANSWERS) |ALREADY GRADED A+ What are the five levels of the Medicare Appeals Process – answer-1. Redetermination: claims reviewed by a different Medicare Adminsitrative Contractor 2. Reconsideration: Case reconsidered by Quality Independent Contractor 3.HearingL Case reviewed at hearing before an Administrative Law Judge 4. Review: Medical app...

CHRC NEW EXAM WITH ALL QUESTIONS AND CORRECT ANSWERS 100% VERIFIED!! (everything you need about CHRC is here) GRADE A+ Risk Assessment - ANSWER The identification, measurement, and prioritization of relevant events that may have material consequences on the organization to achieve its objectives. Internal Controls - ANSWER A process effected by an entity's board of directors, management, and other personnel designed to provide reasonable assurance regarding the achievement of objectiv...

HCCA CHC New Exam Prep Questions And Correct Answers Stark or Physician Self-Referral Law - ANSWER The Omnibus Budget Reconciliation Act prohibits physicians from referring patients to receive "designated health services" to any entity with which the physician has a financial relationship. Designated health services include lab testing, imaging services, physical or occupational therapy, etc. (civil only, medicare/medicaid only, strict liability) Anti-Kickback Statute (AKS) - ANSWER...

HCCA - CHC Study All Questions (MASTER FLASHCARDS) With Complete Solutions Latest Update 100% pass True or False: ACA requires that all providers adopt a compliance plan as a condition of enrollment with Medicare, Medicaid, and CHIP. - ANSWER True ref. ACA section 6102 According to HHS-OIG - what are three important reasons for proper documentation in Compliance? (hint: protections) - ANSWER 1.Protect our programs 2.Protect your patients 3.Protect the Provider documentation%2C%20both%...

HCCA CHC New Study Set Questions And Verified Detailed Answers Deficit Reduction Act of 2005-ANSWER The organizations receiving more than $5 million in Medicaid funds have to provide education on the False Claims Act. Corporate Integrity Agreement (CIA) - ANSWER A compliance program required by the government, which is characterized by substantial government oversight and independent expert involvement in the organization's compliance activities and usually must be accepted as part of ...

HCCA CHC - Stark & Anti Kickback Exam With Complete Solutions AntiKickback Statute Highlights - ANSWER 1. Criminal/Civil-you go out of business 2. Any federal health program-Medicare, Medicaid, Tri-Care 3. Requires proof of improper intent-DOJ-Criminal 4. Applies to any referral source 5. 24 Safe Harbors 6. OIG Advisory Opinions Stark Highlights - ANSWER 1. Civil only-no prison time 2. Medicare only 3. Strict Liability-does not consider knowledge or intent. If X happens, then you are h...

HCCA CHC - HIPAA WITH COMPLETE SOLUTIONS 100% CORRECT LATEST UPDATE HIPAA Protected Health Information PHI (160.103) - ANSWER Relates to past, present or future physical or mental health or condition of an individual, provision of health care to an individual, or payment for the provision of health care to an individual. ALSO, is there reasonable basis to believe the information can be used to identify an individual? Use & Disclosure required by law - ANSWER 2 mandatory disclosures: to the...

HCCA- CHC EXAM, PRACTICE EXAM AND STUDY GUIDE NEWEST 2024 ACTUAL EXAM 500+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH EXPLANATIONS (VERIFIED ANSWERS) |ALREADY GRADED A+ HCCA- CHC EXAM What is the term called for an organization's commitment to compliance by the board, management, and employees? It summarizes ethical behavior and legal principles the healthcare organization operates. A) Code of Conduct B) Federal Sentencing Guidelines C) Internal Controls - ANSWER- A) Code of Condu...