{"id":118135,"date":"2023-09-02T09:49:21","date_gmt":"2023-09-02T09:49:21","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=118135"},"modified":"2023-09-02T09:49:23","modified_gmt":"2023-09-02T09:49:23","slug":"hcca-chpc-exam-study-pack-2023-2024-question-bank-over-700-questions-and-answers-with-rationales-guaranteed-pass-latest-update","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/02\/hcca-chpc-exam-study-pack-2023-2024-question-bank-over-700-questions-and-answers-with-rationales-guaranteed-pass-latest-update\/","title":{"rendered":"HCCA – CHPC EXAM STUDY PACK 2023\/2024 QUESTION BANK OVER 700 QUESTIONS AND ANSWERS WITH RATIONALES| GUARANTEED PASS LATEST UPDATE"},"content":{"rendered":"\n

HCCA – CHC EXAM STUDY PACK 2023\/2024
QUESTION BANK OVER 700 QUESTIONS AND
ANSWERS WITH RATIONALES| GUARANTEED PASS
LATEST UPDATE
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<\/p>\n\n\n\n

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.
d. Compliance programs are not mandated by law.
a. Compliance programs are considered more dangerous if they are developed but not
implemented.
Formal statement outlining a plan for a specified subject area. It usually cites state and\/or federal
required actions or standards.
a. CAP
b. Procedure document
c. Policy document
d. Legal standards
c. Policy document<\/p>\n\n\n\n

CAP – outlines corrective action plan
Procedure – describes process\/steps under a certain criteria
Legal standards – mandatory action or rule
Life cycle of records management
Creation
Use
Maintenance
Retention
Disposition
Standards of Conduct (written P&Ps)
When should Code of Conduct be distributed to new employees?
Must be distributed within 90 days of hire
RAT-STATS is: (select all that apply)
a. statistical software to select randomized samples
b. government statistical rule software developed in the 1970s
c. free hospital statistical software
d. recommended by OIG, CMS and other agencies to select random samples
a. b. d.
The software can be used by other entities other than hospitals, so option “c.” is not precisely
accurate, but it is free to use and can be downloaded here: https:\/\/oig.hhs.gov\/compliance\/ratstats\/index.asp
What is the term called for an organization’s commitment to compliance by management,
employees, and contractors. Statement should summarize ethical behavior and legal principles
under which the healthcare organization operates?
Code of Conduct
In the course of an audit, you find that disciplinary actions against certain physicians and high
level executives for non-compliance in the organization have been unfair and inconsistent with
current policies & procedures. What is your first course of action
.a. Work with legal counsel to enforce proper disciplinary actions
b. Get HR involved and recommend the use of progressive discipline policies
c. Immediately terminate these individuals
d. Get local and federal labor department involved for unfair discipline.
b. Get HR involved and recommend the use of progressive discipline policies
OIG recommends setting forth the degrees of disciplinary actions. Progressive discipline<\/p>\n\n\n\n

provides a structure and a set of discipline standards for managers\/supervisors to follow to ensure
discipline is fair, equitable and consistent.
Documentation<\/p>\n\n\n\n