Free CCT Practice Questions

Question 1

An emergency physician is treating an unconscious patient and urgently requests the patient's medication and allergy records from a clinic. The clinic has verified the physician's identity and treatment role. No special confidentiality restriction applies, but the patient has not signed an authorization. Which response supports timely care while complying with HIPAA?

Accepted Answer

Send the requested records promptly through the clinic's secure treatment-disclosure process.

Answer

Obtain a family member's written permission before releasing the requested information.

Answer

Send only the allergy list until the patient can authorize disclosure of the medications.

Answer

Defer release until the privacy officer approves an emergency waiver of the authorization requirement.

Question 2

A home health billing manager receives repeated, specific reports that visits in a Medicare billing batch never occurred. She orders staff not to check the visit logs and approves the claims. She argues that civil False Claims Act liability requires proof that she specifically intended to defraud Medicare. Which statement correctly addresses that defense?

Accepted Answer

Deliberate ignorance can satisfy the Act's knowledge requirement; specific intent to defraud is unnecessary.

Answer

Specific intent to defraud must be proved separately from any deliberate avoidance of the facts.

Answer

Her knowledge is legally irrelevant because another employee, rather than the manager, transmitted the claims.

Answer

Because the Act imposes civil liability, an accidental billing error meets the same knowledge standard as intentional deception.

Question 3

Of the corrective actions due this quarter, 20 were verified closed on time, 4 were closed late, and 4 remain overdue. Another 12 actions are not due until next quarter. The organization's target is to verify on-time closure of at least 80% of actions due in the reporting quarter. Which dashboard entry accurately measures performance against that target?

Accepted Answer

71.4% on-time closure; the target was not met.

Answer

50.0% on-time closure; the target was not met.

Answer

83.3% on-time closure; the target was met.

Answer

85.7% on-time closure; the target was met.

Question 4

A physical therapist's five-year OIG exclusion period ended seven weeks ago. Her state license is active, and OIG has acknowledged receiving her reinstatement application. No waiver or special payment exception applies. Which document would establish that the OIG exclusion no longer bars federal healthcare-program payment for her services?

Accepted Answer

Written notice from OIG granting reinstatement to federal healthcare programs.

Answer

A confirmation from OIG that the reinstatement application has been received and is under review.

Answer

A current state license showing no restriction on the therapist's professional practice.

Answer

A new Medicare provider number issued after the exclusion period.

Question 5

Two claims supervisors knowingly bypassed the same billing safeguard and have comparable disciplinary histories. A vice president says, 'Discipline the one in the smaller department; we cannot risk losing our top revenue producer.' Which response is consistent with OIG's approach to enforcing standards?

Accepted Answer

Apply the same disciplinary criteria to both supervisors, without a revenue-based exemption.

Answer

Automatically terminate both supervisors to demonstrate zero tolerance.

Answer

Base each sanction on the projected revenue loss if that supervisor is removed from the department.

Answer

Allow the exemption if the higher-revenue department refunds the overpayments before discipline is imposed.

Question 6

A physician refers Medicare patients to a clinical laboratory owned by her spouse. The tests are medically necessary and accurately billed, but no applicable exception covers the financial arrangement. There is no evidence of a payment intended to induce referrals. Which law directly prohibits these referrals without requiring proof of improper intent?

Accepted Answer

Physician Self-Referral Law (Stark)

Answer

Federal Anti-Kickback Statute

Answer

Civil False Claims Act

Answer

HIPAA Privacy Rule

Question 7

A hospital receives a Recovery Audit Contractor (RAC) letter requesting medical records to assess the necessity of services on Medicare claims that have already been paid. How should the review and the contractor's payment-correction role be described?

Accepted Answer

Complex postpayment review; RACs identify both overpayments and underpayments.

Answer

Automated postpayment review; RACs identify overpayments and underpayments.

Answer

Complex postpayment review; RACs identify overpayments but cannot identify underpayments.

Answer

Prepayment medical review; RACs resolve payment before Medicare pays the claims.

Question 8

One breach of unsecured protected health information affects 640 patients: 360 live in Ohio and 280 in Kentucky. The hospital has determined that HIPAA breach notification is required and has current contact information for every patient. No law-enforcement delay applies. Which statement correctly identifies the mandatory notifications, assuming notices are sent without unreasonable delay?

Accepted Answer

Notify patients and HHS within 60 days of discovery; the state totals do not trigger mandatory media notification.

Answer

Notify patients within 60 days of discovery and include the breach in the year-end HHS log.

Answer

Notify patients, HHS, and prominent media in both states within 60 days of discovery because more than 500 patients are affected.

Answer

Notify HHS and prominent media within 60 days of discovery; the public announcements replace individual notices for a breach this large.

Question 9

During contract review, a compliance technician finds that a proposed nine-month personal-services agreement otherwise meets every condition of the federal Anti-Kickback Statute's personal-services and management-contracts safe harbor. What is the significance of the nine-month term?

Accepted Answer

It misses the one-year minimum, but this fact alone does not establish an AKS violation.

Answer

It establishes a criminal AKS violation, so the parties must abandon the arrangement rather than evaluate it further.

Answer

It qualifies for protection because the safe harbor regulates compensation and services rather than the length of the agreement.

Answer

The term qualifies if both parties intend to renew the contract for three months.

Question 10

After a hospital publicizes an anonymous hotline and its nonretaliation policy, compliance reports increase from 2 to 17 in one quarter. Interviews show that staff now understand how to report concerns outside their supervisory chain. Several reports concern older incidents. What can leadership reasonably conclude from these findings?

Accepted Answer

The increase may reflect improved access to reporting rather than more misconduct.

Answer

The increase measures the rise in new misconduct during the reporting quarter.

Answer

The program should return to supervisor-only reporting until the rise in allegations has been investigated.

Answer

The volume establishes that the training program failed to communicate the organization's conduct standards.

Free CCT Practice Questions

Domain 1: General Metrology 24% of exam

Question 1

Question 2

Question 3

Domain 2: Measurement Systems 20.8% of exam

Question 4

Question 5

Question 6

Domain 3: Calibration Systems 22.4% of exam

Question 7

Question 8

Domain 4: Measurement Uncertainty and Applied Math 20% of exam

Question 9

Question 10

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