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HCCA - CHC EXAM STUDY PACK 2024 –ACTUAL EXAM QUESTIONS WITH 100% VERIFIED SOLUTIONS-LATEST UPDATE /A+ GRADE

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HCCA - CHC EXAM STUDY PACK 2024 –ACTUAL EXAM QUESTIONS WITH 100% VERIFIED SOLUTIONS-LATEST UPDATE /A+ GRADE

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  • January 22, 2024
  • 293
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • hcca chc exam study pack 2024 actual exam quest

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  • HCCA - CHC
  • HCCA - CHC

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HCCA - CHC EXAM STUDY PACK 2024 –ACTUAL EXAM
QUESTIONS WITH 100% VERIFIED SOLUTIONS-
LATEST UPDATE 2023-2024/A+ GRADE

True or False:

The ACA requires that all providers adopt a compliance plan as a condition of enrollment with

Medicare, Medicaid, and Children's Health Insurance Program (CHIP).

✔✔True

ref. ACA section 6102


According to HHS-OIG - what are three important reasons for proper documentation in

Compliance? (hint: protections)

✔✔1.Protect our programs


2. Protect your patients


3. Protect the Provider




https://oig.hhs.gov/newsroom/podcasts/2011/heat/heat09-

trans.asp#:~:text=Proper%20documentation%2C%20both%20in%20patients,to%20protect%20y

ou%20the%20provider.


At which level of the Medicare Part A or Part B appeals process is the appeal decision by the

Office of Medicare Hearings and Appeals (OMHA)?

,a. first level of appeal

b. second level of appeal

c. third level of appeal


d. fourth level of appeal

✔✔c. . third level of appeal

Frist level - redetermination by Medicare contractor

Second level - reconsideration by Independent contractor

Third appeal - Administrative Law Judge (ALJ) hearing

Fourth appeal - review by Medicare Appeals Council

Fifth appeal - review in Federal District Court

https://www.hhs.gov/about/agencies/omha/the-appeals-process/index.html


What should CCO be able to do? (What skills should this person have?) Choose all that apply.

a. Leadership skills.

b. Oversee the coding department.

c. Skills to design and implement a compliance program.

d. Be able to anticipate new risk areas.


e. Practical experience with documenting medical necessity.


✔✔a. Leadership skills,

,c. Skills to design and implement a compliance program, and


d. Be able to anticipate new risk areas.




Which of the following is an absolute necessity in order to have a successful Compliance

Program?

a. continuous training and improvements

b. effective reporting path

c. non-retaliation for whistleblowers


d. reliable and equal discipline


✔✔c. non-retaliation for whistleblowers




A Compliance Program with well written policies and procedures:

a. can be successful if consistently reviewed and maintained

b. cannot be effective due to the sheer volume presented


c. will be effective if read by management

d. will not be successful without the proper oversight


✔✔d. will not be successful without the

proper oversight


A Compliance Officer can achieve a higher level of compliance and ethics engagement by:

a. ensuring leadership reads the policies

, b. increasing management involvement

c. responding to compliance hotline calls


d. monitoring the code of conduct


✔✔b. increasing management involvement



Which of the following requires providers to be permanently excluded from all federal health

care programs if found guilty of a healthcare related fraud a third time:

a. Deficit Reduction Act of 2005

b. False Claims Act

c. Balance Budget Act of 1997

d. Social Security Act section 1128

✔✔c. Balance Budget Act of 1997

Also known as a BBA "three strikes rule"


Which statement is TRUE regarding compliance programs?

a. Compliance programs are considered more dangerous if they are developed but not

implemented.

b. Compliance programs can detect but not prevent criminal conduct

c. Compliance programs are only required by law for healthcare entities that have more than

$500,000 in annual revenue.

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