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CPCO STUDY GUIDE UPDATED
EXAM WITH VERIFIED SOLUTIONS.
1. When Judy, Compliance Officer for the Apple Medical Group,
designs the compliance plan she will follow what OIG has
described in the Federal Register. How many basic
components of an effective compliance program is listed for a
small physician practice? - correct answer -seven
2. What does the OIG consider the minimum requirements for a
well-publicized guideline that includes disciplinary steps? -
correct answer -Including the disciplinary steps in the
company's in-house training and procedure manuals
3. Failure to respond quickly to suspected or alleged instances of
non-compliance threatens the organization's reputation as
trustworthy, law-abiding, and ______________? - correct
answer -the organization's ability to participate with federally
funded healthcare plans and/or third party payers.
4. Lon, the billing manager, sometimes uses the term "double
billing". What does this phase refer to? - correct answer -
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Charging the patient for a membership fee to see the provider
as well as billing for the actual office visit that day.
5. When Kim from ABC Provider Group is conducting a risk
assessment, one of the most important and key sources of
information that a Kim as the Compliance Officer should utilize
is____________ - correct answer -the Office of Inspector
General's Annual Work Plan
6. What is more important to have in place for enforcing and
disciplining individuals who violate the practice's compliance or
other practice standards? - correct answer -procedures
7. Kelly is the Compliance Officer for a teaching hospital. The
hospital has providers that specialize in Dermatology,
Pediatrics, Urology, Family Medicine, Internal Medicine and
Infectious Disease. Only the Pediatricians accept Medicaid.
The Family Practice groups also employs Nurse Practitioners
whereas the other specialties only have MD's or DO's. How
should Kelly address these special issues? - correct answer -
Kelly should give specialized training to coders and billers that
code/bill for the Pediatricians and Family Practice that takes
into account the Medicaid insurance and Nurse Practitioners
because this is creating extra work for two out of the six
specialties.
, Page | 3
8. The OIG guidance recommends new employees should be
trained in standards and procedures_____________ as part of
their orientation to the practice. - correct answer -as soon as
possible
9. he following is not a level of non-compliance: - correct answer -
Mistake in billing
10. Judy at Apple Medical Group wants to know why Hot Line
allegations should be tracked? - correct answer -Establish
patterns or trends that need to be followed
11. If the practice uses an outsourced compliance officer the
OIG recommends_____? - correct answer -designating a
liaison from the practice to communicate with the outside
compliance officer; and that the practice has a business service
agreement with the outside compliance officer
12. John is the new Compliance Officer for a small community
medical practice of 10 providers. He wants to design a great
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compliance plan for the group. What does the OIG consider the
most important aspect of a Compliance Program? - correct
answer -Implementation
13. The Compliance Officer is also responsible for the
coordinating and/or screening of employees, agents, and
independent contractors. Why is this important? - correct
answer -Organizations cannot do business with individuals who
have been excluded from participating in federally funded
healthcare plans
14. Joan, as an employee of a healthcare organization, has
_________to report erroneous conduct, without repercussions,
so that it may be corrected immediately. - correct answer -a
duty
15. Judy, Compliance Officer for Apple Medical Group, wants
the entire organization to be included in the initial audit to
identify current compliance and areas of non-compliance. What
type of audit is this? - correct answer -baseline
CPCO STUDY GUIDE UPDATED
EXAM WITH VERIFIED SOLUTIONS.
1. When Judy, Compliance Officer for the Apple Medical Group,
designs the compliance plan she will follow what OIG has
described in the Federal Register. How many basic
components of an effective compliance program is listed for a
small physician practice? - correct answer -seven
2. What does the OIG consider the minimum requirements for a
well-publicized guideline that includes disciplinary steps? -
correct answer -Including the disciplinary steps in the
company's in-house training and procedure manuals
3. Failure to respond quickly to suspected or alleged instances of
non-compliance threatens the organization's reputation as
trustworthy, law-abiding, and ______________? - correct
answer -the organization's ability to participate with federally
funded healthcare plans and/or third party payers.
4. Lon, the billing manager, sometimes uses the term "double
billing". What does this phase refer to? - correct answer -
, Page | 2
Charging the patient for a membership fee to see the provider
as well as billing for the actual office visit that day.
5. When Kim from ABC Provider Group is conducting a risk
assessment, one of the most important and key sources of
information that a Kim as the Compliance Officer should utilize
is____________ - correct answer -the Office of Inspector
General's Annual Work Plan
6. What is more important to have in place for enforcing and
disciplining individuals who violate the practice's compliance or
other practice standards? - correct answer -procedures
7. Kelly is the Compliance Officer for a teaching hospital. The
hospital has providers that specialize in Dermatology,
Pediatrics, Urology, Family Medicine, Internal Medicine and
Infectious Disease. Only the Pediatricians accept Medicaid.
The Family Practice groups also employs Nurse Practitioners
whereas the other specialties only have MD's or DO's. How
should Kelly address these special issues? - correct answer -
Kelly should give specialized training to coders and billers that
code/bill for the Pediatricians and Family Practice that takes
into account the Medicaid insurance and Nurse Practitioners
because this is creating extra work for two out of the six
specialties.
, Page | 3
8. The OIG guidance recommends new employees should be
trained in standards and procedures_____________ as part of
their orientation to the practice. - correct answer -as soon as
possible
9. he following is not a level of non-compliance: - correct answer -
Mistake in billing
10. Judy at Apple Medical Group wants to know why Hot Line
allegations should be tracked? - correct answer -Establish
patterns or trends that need to be followed
11. If the practice uses an outsourced compliance officer the
OIG recommends_____? - correct answer -designating a
liaison from the practice to communicate with the outside
compliance officer; and that the practice has a business service
agreement with the outside compliance officer
12. John is the new Compliance Officer for a small community
medical practice of 10 providers. He wants to design a great
, Page | 4
compliance plan for the group. What does the OIG consider the
most important aspect of a Compliance Program? - correct
answer -Implementation
13. The Compliance Officer is also responsible for the
coordinating and/or screening of employees, agents, and
independent contractors. Why is this important? - correct
answer -Organizations cannot do business with individuals who
have been excluded from participating in federally funded
healthcare plans
14. Joan, as an employee of a healthcare organization, has
_________to report erroneous conduct, without repercussions,
so that it may be corrected immediately. - correct answer -a
duty
15. Judy, Compliance Officer for Apple Medical Group, wants
the entire organization to be included in the initial audit to
identify current compliance and areas of non-compliance. What
type of audit is this? - correct answer -baseline
