100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
HCCA - CHC Study Questions with 100% Correct Answers $13.49   Add to cart

Exam (elaborations)

HCCA - CHC Study Questions with 100% Correct Answers

 5 views  0 purchase
  • Course
  • HCCA
  • Institution
  • HCCA

HCCA - CHC Study Questions with 100% Correct Answers 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). - Answer️️ -True ref. ACA section 6102 According to HHS-OIG...

[Show more]

Preview 4 out of 289  pages

  • August 29, 2024
  • 289
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • HCCA
  • HCCA
avatar-seller
SophiaBennett
©SOPHIABENNET@2024-2025 Thursday, August 22, 2024 10:21 AM




HCCA - CHC Study Questions with 100% Correct Answers


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). - 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



https://oig.hhs.gov/newsroom/podcasts/2011/heat/heat09-
trans.asp#:~:text=Proper%20documentation%2C%20both%20in%20patient
s,to%20protect%20you%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




1

, ©SOPHIABENNET@2024-2025 Thursday, August 22, 2024 10:21 AM




b. second level of appeal

c. third level of appeal

d. fourth level of appeal - Answer✔️✔️-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. - Answer✔️✔️-
a. Leadership skills,



2

, ©SOPHIABENNET@2024-2025 Thursday, August 22, 2024 10:21 AM




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 - Answer✔️✔️-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 - Answer✔️✔️-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



3

, ©SOPHIABENNET@2024-2025 Thursday, August 22, 2024 10:21 AM




c. responding to compliance hotline calls

d. monitoring the code of conduct - Answer✔️✔️-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 - Answer✔️✔️-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.




4

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller SophiaBennett. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $13.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

77016 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$13.49
  • (0)
  Add to cart