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HCCA - CHC Study Questions (MASTER Study SET) Content covers each compliance program element, HIPAA terms, compliance related laws & regulations, study materials, and general definitions and acronyms / 750+ Questions & Certified Answers / Newest 2025/2026 £18.31
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HCCA - CHC Study Questions (MASTER Study SET) Content covers each compliance program element, HIPAA terms, compliance related laws & regulations, study materials, and general definitions and acronyms / 750+ Questions & Certified Answers / Newest 2025/2026

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HCCA - CHC Study Questions (MASTER Study SET) Content covers each compliance program element, HIPAA terms, compliance related laws & regulations, study materials, and general definitions and acronyms / 750+ Questions & Certified Answers / Newest 2025/2026

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  • February 25, 2025
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  • 2024/2025
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HCCA - CHC Study Questions (MASTER Study SET)
Content covers each compliance program element,
HIPAA terms, compliance related laws & regulations,
study materials, and general definitions and acronyms /
750+ Questions & Certified Answers / Newest
2025/2026


Terms in this set (762)


True or False: True
The ACA requires that all
providers adopt a ref. ACA section 6102
compliance plan as a
condition of enrollment with
Medicare, Medicaid, and
Children's Health
Insurance Program (CHIP).



1.Protect our programs
According to HHS-OIG what
2.Protect your patients 3.Protect
are three important
the Provider
reasons for proper
documentation in
https://oig.hhs.gov/newsroom/podcasts/2011/heat/he
Compliance? (hint:
at09trans.asp#:~:text=Proper%20documentation%2C%20bo th
protections)
%20in%20patients,to%20protect%20you%20the%20 provider.

,At which level of the c. . third level of appeal
Medicare Part A or Part B
appeals process is the Frist level - redetermination by Medicare contractor Second level
appeal decision by the - reconsideration by Independent contractor
Office of Medicare Hearings Third appeal - Administrative Law Judge (ALJ) hearing
and Appeals (OMHA)? Fourth appeal - review by Medicare Appeals Council Fifth
a. first level of appeal appeal - review in Federal District Court
https://www.hhs.gov/about/agencies/omha/theappeals-
b. second level of appeal
process/index.html
c. third level of appeal
d. fourth level of appeal



a. Leadership skills,
What should CCO be able to
c. Skills to design and implement a complianceprogram, and
do? (What skills should this
d. Be able to anticipate new risk areas.
person have?) Choose all that
apply.
a. Leadership skills.
b. Oversee the
codingdepartment.
c. Skills to design
andimplement a compliance
program.
d. Be able to
anticipatenew risk areas.
e. Practical
experiencewith documenting
medical necessity.

,Which of the following is an c. non-retaliation for whistleblowers
absolute necessity in order
to have a successful
Compliance Program?
a. continuous training
andimprovements
b. effective reporting
path
c. non-retaliation
forwhistleblowers
d. reliable and
equaldiscipline
A Compliance Program d. will not be successful without the proper oversight
with well written policies and
procedures:
a. can be successful
ifconsistently reviewed and
maintained
b. cannot be effective
dueto the sheer volume
presented
c. will be effective if
read
by management
d. will not be
successfulwithout the proper
oversight

, A Compliance Officer can b. increasing management involvement
achieve a higher level of
compliance and ethics
engagement by:
a. ensuring
leadershipreads the policies
b. increasing
managementinvolvement
c. responding
tocompliance hotline calls
d. monitoring the code
ofconduct

Which of the following c. Balance Budget Act of 1997
requires providers to be
permanently excluded from Also known as a BBA "three strikes rule"
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
Actsection 1128

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