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HCCA – CHC Exam Study Questions with 100% Correct Answers | Latest Version (2024/2025) Expert Verified
HCCA – CHC Exam Study Questions with 100% Correct Answers | Latest Version (2024/2025) Expert Verified
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hcca chc exam study questions with 100 correct
true or false the aca requires that all providers
according to hhs oig what are three important re
at which level of the medicare part a or part b ap
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HCCA – CHC Exam Study Questions
with 100% Correct Answers | Latest
Version (2024/2025) Expert Verified
TrueioriFalse:
TheiACAirequiresithatialliprovidersiadoptiaicomplianceiplaniasiaiconditio
niofienrollmentiwithiMedicare,iMedicaid,iandiChildren'siHealthiInsuran
ceiProgrami(CHIP).i-iCorrectiAnswer-True
ref.iACAisectioni6102
AccordingitoiHHS-OIGi-
iwhatiareithreeiimportantireasonsiforiproperidocumentationiiniComplia
nce?i(hint:iprotections)i-iCorrectiAnswer-1.Protectiouriprograms
2.Protectiyouripatients
3.ProtectitheiProvider
https://oig.hhs.gov/newsroom/podcasts/2011/heat/heat09-
trans.asp#:~:text=Proper%20documentation%2C%20both%20in%20pa
tients,to%20protect%20you%20the%20provider.
AtiwhichileveliofitheiMedicareiPartiAioriPartiBiappealsiprocessiisitheiapp
ealidecisionibyitheiOfficeiofiMedicareiHearingsiandiAppealsi(OMHA)?
,a.ifirstileveliofiappeal
b.isecondileveliofiappeal
c.ithirdileveliofiappeal
d.ifourthileveliofiappeali-iCorrectiAnswer-c.i.ithirdileveliofiappeal
Fristileveli-iredeterminationibyiMedicareicontractor
Secondileveli-ireconsiderationibyiIndependenticontractor
Thirdiappeali-iAdministrativeiLawiJudgei(ALJ)ihearing
Fourthiappeali-ireviewibyiMedicareiAppealsiCouncil
Fifthiappeali-ireviewiiniFederaliDistrictiCourt
https://www.hhs.gov/about/agencies/omha/the-appeals-
process/index.html
WhatishouldiCCOibeiableitoido?i(Whatiskillsishouldithisipersonihave?)iC
hooseiallithatiapply.
a.iLeadershipiskills.
b.iOverseeitheicodingidepartment.
c.iSkillsitoidesigniandiimplementiaicomplianceiprogram.
d.iBeiableitoianticipateinewiriskiareas.
e.iPracticaliexperienceiwithidocumentingimedicalinecessity.i-
iCorrectiAnswer-a.iLeadershipiskills,
c.iSkillsitoidesigniandiimplementiaicomplianceiprogram,iand
d.iBeiableitoianticipateinewiriskiareas.
,Whichiofitheifollowingiisianiabsoluteinecessityiiniorderitoihaveiaisuccess
fuliComplianceiProgram?
a.icontinuousitrainingiandiimprovements
b.ieffectiveireportingipath
c.inon-retaliationiforiwhistleblowers
d.ireliableiandiequalidisciplinei-iCorrectiAnswer-c.inon-
retaliationiforiwhistleblowers
AiComplianceiProgramiwithiwelliwrittenipoliciesiandiprocedures:
a.icanibeisuccessfuliificonsistentlyireviewediandimaintained
b.icannotibeieffectiveidueitoitheisheerivolumeipresented
c.iwillibeieffectiveiifireadibyimanagement
d.iwillinotibeisuccessfuliwithoutitheiproperioversighti-iCorrectiAnswer-
d.iwillinotibeisuccessfuliwithoutitheiproperioversight
AiComplianceiOfficericaniachieveiaihigherilevelioficomplianceiandiethicsi
engagementiby:
a.iensuringileadershipireadsitheipolicies
b.iincreasingimanagementiinvolvement
c.irespondingitoicomplianceihotlineicalls
d.imonitoringitheicodeioficonducti-iCorrectiAnswer-
b.iincreasingimanagementiinvolvement
, Whichiofitheifollowingirequiresiprovidersitoibeipermanentlyiexcludedifr
omiallifederalihealthicareiprogramsiififoundiguiltyiofiaihealthcareirelate
difraudiaithirditime:
a.iDeficitiReductioniActiofi2005
b.iFalseiClaimsiAct
c.iBalanceiBudgetiActiofi1997
d.iSocialiSecurityiActisectioni1128i-iCorrectiAnswer-
c.iBalanceiBudgetiActiofi1997
AlsoiknowniasiaiBBAi"threeistrikesirule"
WhichistatementiisiTRUEiregardingicomplianceiprograms?
a.iComplianceiprogramsiareiconsideredimoreidangerousiifitheyiareideve
lopedibutinotiimplemented.
b.iComplianceiprogramsicanidetectibutinotipreventicriminaliconduct
c.iComplianceiprogramsiareionlyirequiredibyilawiforihealthcareientitiesit
hatihaveimoreithani$500,000iiniannualirevenue.
d.iComplianceiprogramsiareinotimandatedibyilaw.i-iCorrectiAnswer-
a.iComplianceiprogramsiareiconsideredimoreidangerousiifitheyiareideve
lopedibutinotiimplemented.
Formalistatementioutliningiaiplaniforiaispecifiedisubjectiarea.iItiusuallyic
itesistateiand/orifederalirequirediactionsioristandards.