CPCO Certification Exam PREPARATION
CPCO CERTIFICATION EXAM PREPARATION FOR 2025/2026
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |BRAND NEW VERSION!!
You have just been identified as the compliance officer at your practice. The OIG
Compliance Guidance for Individual and Small Group Physician Practices suggests
six specific duties that may be assigned to you. What is one of those duties?
A. Reviewing reports to see that new employees and vendors have been checked
against the OIG's list of excluded individuals and entities.
B. Making sure no one changes the compliance program so you are able to show
how the program was implemented.
C. Reviewing all claims being submitted to be sure they do not violate fraud and
abuse laws.
D. Submitting annual reports to the Office of Inspector General on all compliance
activities undertaken during the year.
A. Reviewing reports to see that new employees and vendors have been checked
against the OIG's list of excluded individuals and entities.
For larger physician practices, how frequently does the OIG recommend reporting
compliance activities to the Board of Directors and CEO?
A. Monthly
B. Quarterly
C. Annually
D. Regularly
D. Regularly
When conducting compliance training within a physician practice, what is one of
the goals that the practice should strive for in this training?
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, CPCO Certification Exam PREPARATION
A. Only new employees will receive training on how to perform their jobs in
compliance with the standards of the practice and any applicable regulations.
B. Managers of employees will receive training on how to perform their jobs in
compliance with the standards of the practice and any applicable regulations.
C. All employees will receive training on how to perform their jobs in compliance
with the standards of the practice and any applicable regulations.
D. All employees will receive training on the definition of compliance.
C. All employees will receive training on how to perform their jobs in compliance
with the standards of the practice and any applicable regulations.
What is the goal of ongoing auditing and monitoring in a physician's practice?
A. Ongoing auditing and monitoring will prevent fraud
B. Ongoing auditing and monitoring will enhance revenues by detecting instances
of undercoding.
C. Ongoing auditing and monitoring will evaluate whether the physician practice's
standards and procedures are current and accurate and whether the compliance
program is working.
D. Ongoing auditing and monitoring will improve the quality of patient care.
C. Ongoing auditing and monitoring will evaluate whether the physician practice's
standards and procedures are current and accurate and whether the compliance
program is working.
A compliance program's plan for communication should include a provision for
non-retaliation for reporting fraudulent conduct. Which method below helps
ensure that an employee would be free from retribution?
A. A clearly defined chain of command for reporting potentially fraudulent
conduct
B. Guaranteed anonymity
C. Well-publicized disciplinary actions for retaliation
D. A policy that encourages reporting directly to the OIG
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, CPCO Certification Exam PREPARATION
C. Well-publicized disciplinary actions for retaliation
What does the HHS OIG suggest as possible warning signs that non-compliance
may exist?
A. Significant change in the number or type of claim rejections.
B. Getting carrier newsletters pertaining to the types of service that your practice
bills.
C. Consistent use of certain codes.
D. Receipt of carrier requests for documentation.
A. Significant change in the number or type of claim rejections.
Having the ability to respond to issues enables a practice to develop effective
action plans to correct problems and prevent future problems from occurring.
What is one step that can be taken to establish compliance effectiveness for
responding to and/or preventing compliance issues?
A. Create a response team, consisting of representatives from the compliance and
audit department.
B. Create a response team, consisting of representatives from compliance, audit,
and any other relevant functional department.
C. Create an investigation team, consisting of representatives from compliance,
audit, and any other relevant functional department.
D. Create a prevention team, consisting of representatives from compliance, audit,
and any other relevant functional department.
B. Create a response team, consisting of representatives from compliance, audit,
and any other relevant functional department.
Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA),
Public Law 104-191, what is the name of the national program designed to
coordinate Federal, State and local law enforcement activities with respect to
health care fraud and abuse?
3|Page
CPCO CERTIFICATION EXAM PREPARATION FOR 2025/2026
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |BRAND NEW VERSION!!
You have just been identified as the compliance officer at your practice. The OIG
Compliance Guidance for Individual and Small Group Physician Practices suggests
six specific duties that may be assigned to you. What is one of those duties?
A. Reviewing reports to see that new employees and vendors have been checked
against the OIG's list of excluded individuals and entities.
B. Making sure no one changes the compliance program so you are able to show
how the program was implemented.
C. Reviewing all claims being submitted to be sure they do not violate fraud and
abuse laws.
D. Submitting annual reports to the Office of Inspector General on all compliance
activities undertaken during the year.
A. Reviewing reports to see that new employees and vendors have been checked
against the OIG's list of excluded individuals and entities.
For larger physician practices, how frequently does the OIG recommend reporting
compliance activities to the Board of Directors and CEO?
A. Monthly
B. Quarterly
C. Annually
D. Regularly
D. Regularly
When conducting compliance training within a physician practice, what is one of
the goals that the practice should strive for in this training?
1|Page
, CPCO Certification Exam PREPARATION
A. Only new employees will receive training on how to perform their jobs in
compliance with the standards of the practice and any applicable regulations.
B. Managers of employees will receive training on how to perform their jobs in
compliance with the standards of the practice and any applicable regulations.
C. All employees will receive training on how to perform their jobs in compliance
with the standards of the practice and any applicable regulations.
D. All employees will receive training on the definition of compliance.
C. All employees will receive training on how to perform their jobs in compliance
with the standards of the practice and any applicable regulations.
What is the goal of ongoing auditing and monitoring in a physician's practice?
A. Ongoing auditing and monitoring will prevent fraud
B. Ongoing auditing and monitoring will enhance revenues by detecting instances
of undercoding.
C. Ongoing auditing and monitoring will evaluate whether the physician practice's
standards and procedures are current and accurate and whether the compliance
program is working.
D. Ongoing auditing and monitoring will improve the quality of patient care.
C. Ongoing auditing and monitoring will evaluate whether the physician practice's
standards and procedures are current and accurate and whether the compliance
program is working.
A compliance program's plan for communication should include a provision for
non-retaliation for reporting fraudulent conduct. Which method below helps
ensure that an employee would be free from retribution?
A. A clearly defined chain of command for reporting potentially fraudulent
conduct
B. Guaranteed anonymity
C. Well-publicized disciplinary actions for retaliation
D. A policy that encourages reporting directly to the OIG
2|Page
, CPCO Certification Exam PREPARATION
C. Well-publicized disciplinary actions for retaliation
What does the HHS OIG suggest as possible warning signs that non-compliance
may exist?
A. Significant change in the number or type of claim rejections.
B. Getting carrier newsletters pertaining to the types of service that your practice
bills.
C. Consistent use of certain codes.
D. Receipt of carrier requests for documentation.
A. Significant change in the number or type of claim rejections.
Having the ability to respond to issues enables a practice to develop effective
action plans to correct problems and prevent future problems from occurring.
What is one step that can be taken to establish compliance effectiveness for
responding to and/or preventing compliance issues?
A. Create a response team, consisting of representatives from the compliance and
audit department.
B. Create a response team, consisting of representatives from compliance, audit,
and any other relevant functional department.
C. Create an investigation team, consisting of representatives from compliance,
audit, and any other relevant functional department.
D. Create a prevention team, consisting of representatives from compliance, audit,
and any other relevant functional department.
B. Create a response team, consisting of representatives from compliance, audit,
and any other relevant functional department.
Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA),
Public Law 104-191, what is the name of the national program designed to
coordinate Federal, State and local law enforcement activities with respect to
health care fraud and abuse?
3|Page
