Test Bank (Complete; Certified Healthcare Constructor (CHC) Questions (+1100Q) with Correct Answers |Verified

Test Bank (Complete;

Certified Healthcare

Constructor (CHC) Questions

(+1100Q) with Correct

Answers |Verified

Table of Contents

CHC Random Study Questions 1....................................................................................................2

CHC Random Study Questions 2..................................................................................................18

CHC Random Study Questions 3..................................................................................................41

CHC Random Study Questions 4..................................................................................................66

CHC Practice Questions (Scenarios).............................................................................................88

CHC Practice Test............................................................................................................................131

CHC - CCB Practice Test................................................................................................................148

CHC Exam Prep 1.............................................................................................................................155

CHC 4U Practice Exam ...................................................................................................................199

CHC: Exam no. 1 ..............................................................................................................................216

CHC exam 2.......................................................................................................................................255

Final exam prep CHC......................................................................................................................280

CHC Random Study Questions 1

Compliance means (Compliance Program)

{{Correct Ans- Adherence to laws and regulations, as well as principles of ethical

conduct

OIG urges the ____________ to assist in the implementation of the compliance program

and serves as advisors.

A. Board

B. CEO

C. Compliance Committee

D. Quality Committee

{{Correct Ans- C. Compliance Committee

A compliance professional is reviewing the policies and procedures for exclusion

verifications. The policy does not state frequency of exclusion verifications. How

frequent should exclusion verifications be performed?

a. Annually

b. Bi-annually

c. Monthly

d. Semi-annually

{{Correct Ans- c. monthly (as recommended by OIG to avoid risk)

A hospital medical staff office is conducting its monthly review of the Excluded Parties

List System (EPLS). The compliance officer is called by the manager of the medical staff

office and informed that Dr. Smith, a surgeon who took call 5 times last month for the

Emergency Department, was excluded on a date prior to those dates when the surgeon

took call. In other words, the effective date of the exclusion involving the surgeon was

4/1/2019 and the surgeon took call and provided surgical services to patients in the

ED on 4/13/19, 4/20/19, and 4/27/2019. What is the NEXT action the compliance

officer should do?

a. Contact the ED and make sure that the involved surgeon is removed from taking any

more on call shifts.

b. Have the medical office check if the surgeon is listed on other exclusion lists.

c. Contact legal counsel to alert of the need to pay back reimbursement received for

services provided by an excluded individual.

d. Hold all surgical service related bills associated with the ED so that none are

released to any payers which may involve this surgeon.

{{Correct Ans- b. Have the medical office check if the surgeon is listed on other

exclusion lists

OIG can impose mandatory exclusion for a minimum of..?

{{Correct Ans- 5 years

True or False:

An excluded individual is automatically reinstated at the end of an exclusion term

{{Correct Ans- FALSE - An excluded individual must apply for reinstatement at the end

of their exclusion term

A privacy professional is reviewing a program for an academic medical center that

include a faculty group practice, hospital, student health center, and self-funded group

health plan. The privacy professional should evaluate if the program has notices for:

a. GINA

b. FMLA

c. HIPAA

d. FISMA

{{Correct Ans- c. HIPAA

A health system implemented an EHR in 55 clinics. The privacy professional is told

employees are inconsistently interpreting the policy addressing employee access to

EHR. Which of the following is the privacy professional's BEST strategy?

a. Collaborate with HR to ensure appropriate discipline

b. Perform an audit under Attorney-Client Privilege

c. Conduct surveys of clinic employees concerns

d. Audit a random sampling of clinics across the organization

{{Correct Ans- c. Conduct surveys of clinic employees concerns

Under the US Federal Sentencing Guidelines, there is an expectation that effective

compliance programs include due diligence in discretionary authority and hiring.

Which of the following is MOST important process to include?

a. Periodic background checks

b. Drug Testing

c. Monthly exclusion verifications through OIG database

d. Monthly exclusion verifications through SAMS GSA Exclusion database

{{Correct Ans- d. Monthly exclusion verifications through SAMS GSA Exclusion

database.

Explanation: Starting from the top: GSA administers SAM, which contains debarment

actions taken by various Federal agencies, including OIG's exclusions. The LEIE

contains only the exclusion actions taken by OIG.

What are the 2 types of OIG exclusions?

{{Correct Ans- Mandatory and Permissive.

See definitions: https://oig.hhs.gov/exclusions/background.asp

Concurrent Audit

{{Correct Ans- Real time - Ongoing review/inspection of records, policies and

procedures. More difficult to execute but best way to change behavior. Identify and

address problems as they arise - Example: Auditing claims before claims are billed