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Free CHC Practice Questions

10 free, exam-style Certified Health Care Constructor (CHC) practice questions with answers and explanations. No signup required. Work through them below, then take the full free CHC practice test to study every exam domain.

These 10 free CHC questions are organized by exam domain, so you can see how each part of the Certified Health Care Constructor blueprint is tested. Reveal the answer and explanation under each question.

Domain 1: Health Care Industry Fundamentals

Question 1

A hospital discovers that a physician employment agreement inadvertently failed to meet Stark Law requirements due to an administrative oversight. The physician had no knowledge of the technical violation and did not intend to violate any law. Under these circumstances, which statement is CORRECT?

  1. The physician cannot be held liable because there was no intent to violate the law
  2. The arrangement may still violate Stark Law because it is a strict liability statute requiring no intent
  3. Only the hospital can be liable because the physician was an employee
  4. The arrangement is protected under the Anti-Kickback Statute safe harbor for employment
Show answer & explanation

Correct answer: B - The arrangement may still violate Stark Law because it is a strict liability statute requiring no intent

Question 2

A hospital is negotiating a medical director agreement with a physician who also refers patients to the hospital. To meet the requirements of the personal services safe harbor under the Anti-Kickback Statute, the arrangement must include all of the following EXCEPT:

  1. A written agreement signed by both parties
  2. Compensation set at fair market value for the services provided
  3. Compensation that varies based on the volume or value of referrals
  4. Aggregate compensation set in advance for the term of the agreement
Show answer & explanation

Correct answer: C - Compensation that varies based on the volume or value of referrals

Domain 2: Planning Design and Construction Process

Question 3

According to the OIG's General Compliance Program Guidance, which of the following is one of the seven elements of an effective compliance program?

  1. Mandatory external audits conducted by independent accounting firms annually
  2. Conducting internal monitoring and auditing with prompt response to detected offenses
  3. Requiring all compliance staff to hold professional certifications
  4. Maintaining a compliance budget of at least 2% of operating revenue
Show answer & explanation

Correct answer: B - Conducting internal monitoring and auditing with prompt response to detected offenses

Question 4

The CEO of a healthcare organization asks the compliance officer to report directly to the Chief Financial Officer to streamline operations. Based on OIG guidance regarding compliance program structure, the compliance officer should explain that:

  1. This reporting structure is acceptable as long as the CFO supports the compliance program
  2. The compliance officer should not report to the CFO or General Counsel to maintain independence and objectivity
  3. The CFO is the ideal supervisor because compliance often involves financial matters
  4. Reporting structure is not addressed in OIG guidance and is left to organizational discretion
Show answer & explanation

Correct answer: B - The compliance officer should not report to the CFO or General Counsel to maintain independence and objectivity

Domain 3: Health Care Facility Management Safety Additions

Question 5

A newly hired compliance officer is reviewing the organization's exclusion screening practices. According to OIG recommendations, how frequently should the organization screen its workforce members against the List of Excluded Individuals/Entities (LEIE)?

  1. At the time of hire only
  2. Annually during the employee's performance review
  3. Monthly
  4. Quarterly
Show answer & explanation

Correct answer: C - Monthly

More CHC practice questions

Question 6

During an internal audit, a compliance officer identifies a pattern of billing errors that resulted in overpayments from Medicare. The compliance team completes its investigation and quantifies the overpayment amount on March 1st. By what date must the organization report and return the overpayment to avoid potential False Claims Act liability?

  1. Within 30 days of the audit completion (March 31st)
  2. Within 60 days of completing reasonable diligence (April 30th)
  3. Within 90 days of first discovering the potential issue
  4. Within one year of receiving the overpayment
Show answer & explanation

Correct answer: B - Within 60 days of completing reasonable diligence (April 30th)

Question 7

A compliance officer is conducting the organization's annual compliance risk assessment. What is the CORRECT sequence of steps in the risk assessment process?

  1. Evaluate controls, identify risks, assess likelihood, determine response
  2. Identify inherent risks, assess likelihood and significance, evaluate existing controls, determine residual risk, respond to risk
  3. Determine response, assess significance, identify risks, evaluate controls
  4. Assess likelihood, evaluate controls, identify risks, determine residual risk
Show answer & explanation

Correct answer: B - Identify inherent risks, assess likelihood and significance, evaluate existing controls, determine residual risk, respond to risk

Question 8

An organization's internal investigation reveals potential violations of the Anti-Kickback Statute. The compliance officer is considering whether to utilize the OIG Self-Disclosure Protocol. Which statement BEST describes a benefit of voluntary disclosure?

  1. Voluntary disclosure guarantees the organization will not face any penalties
  2. The OIG is prohibited from sharing disclosed information with the Department of Justice
  3. Voluntary disclosure may result in reduced penalties and demonstrates commitment to compliance
  4. Organizations that self-disclose are automatically excluded from the LEIE
Show answer & explanation

Correct answer: C - Voluntary disclosure may result in reduced penalties and demonstrates commitment to compliance

Question 9

A billing supervisor notices that claims are being submitted with incorrect diagnosis codes but takes no action because investigating would take too much time. Under the False Claims Act, this behavior could establish liability based on which knowledge standard?

  1. Actual knowledge only, since the supervisor did not know the codes were incorrect
  2. Deliberate ignorance, because the supervisor intentionally avoided learning the truth
  3. Innocent mistake, which is not actionable under the False Claims Act
  4. Constructive knowledge, which requires proof of written notice
Show answer & explanation

Correct answer: B - Deliberate ignorance, because the supervisor intentionally avoided learning the truth

Question 10

Following an internal audit that identified significant billing compliance issues, the compliance officer must develop a corrective action plan (CAP). Which element is MOST essential to include in an effective corrective action plan?

  1. A statement that the organization disagrees with the audit findings
  2. Root cause analysis with specific action steps, responsible parties, and target completion dates
  3. A commitment to conduct another audit in five years
  4. Identification of employees to be terminated for the violations
Show answer & explanation

Correct answer: B - Root cause analysis with specific action steps, responsible parties, and target completion dates

The rest of the CHC blueprint

The CHC exam also covers these domains. Drill them in the full free practice test:

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