CHC Study Guide 2026

Everything you need to pass the CHC exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.

📋 CHC Exam Format at a Glance

150
Questions
180 min
Time Limit
70%
Passing Score

📚 CHC Topics to Study (61)

✍️ Sample CHC Questions & Answers

1. Which of the following is typically omitted from a benefit explanation?
Patient's medical history

A benefit explanation (Explanation of Benefits or EOB) details the financial aspects of healthcare services, including services rendered, dates, charges, and insurer payments. Its purpose is financial transparency regarding claims, not to provide clinical information, so a patient's comprehensive medical history is typically omitted.

2. What is the purpose of a 'charge master' (chargemaster) in hospital billing compliance?
A comprehensive list of all billable services, supplies, and fees used to generate claims

The chargemaster is the hospital's master price list containing every billable item with associated codes and charges, forming the basis for all claims submitted to payers.

3. Which of the following is a key output of a completed healthcare compliance risk assessment?
A prioritized risk register with recommended mitigation actions

The risk register documents identified risks, their scores, responsible owners, and recommended controls, serving as the central deliverable of the assessment.

4. What is the maximum civil monetary penalty per violation category for violations where the covered entity did not know and could not have known of the violation?
$100 per violation, up to $25,000 per year

The lowest tier of civil monetary penalties applies to unknowing violations at $100–$50,000 per violation, up to $25,000 per identical violation per year.

5. A compliance investigation uncovers evidence of a criminal act by a hospital employee. What is the FIRST step the compliance officer should take?
Consult with legal counsel and the organization's leadership

Discovering criminal activity requires immediate consultation with legal counsel to determine reporting obligations and protect the organization.

6. A compliance officer is reviewing a case where a nurse submitted false time records. The investigation is complete and discipline is warranted. Which sequence reflects BEST practice?
Investigate thoroughly, document findings, consult HR and legal, then impose proportional discipline

Best practice requires completing a thorough investigation and consulting HR and legal before imposing discipline to ensure fairness, accuracy, and legal defensibility.

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Your CHC Study Path
1. Learn with Flashcards → 2. Drill Practice Tests → 3. Take the Full Exam Simulation
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