CPCO STUDY GUIDE (CERTIFIED
PROFESSIONAL COMPLIANCE
OFFICER)- AAPC EXAM 2026
ACCURATE REAL EXAM
QUESTIONS AND VERIFIED
CORRECT ANSWERS (LATEST!!)
Question 1
Under Public Law 104-191, the Health Insurance Portability and Accountability Act of
1996 (HIPAA), 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?
- answer-Health Care Fraud and Abuse Control Program (HCFAC)
Question 2
According to the Federal Sentencing Guidelines, "To have an effective compliance and
ethics program..., an organization shall exercise due diligence to prevent and detect
criminal conduct." The FSGs also state organizations shall: - answer-Promote an
organizational culture that encourages ethical conduct and a commitment to
compliance with the law.
Question 3
If a physician practice uses another entity's standards of conduct, the practice must: -
answer-Tailor those materials to the physician practice where they will be applied.
Question 4
As the compliance contact for your physician practice, you are charged with developing
the policies and procedures related to coding and billing. When developing these
policies and procedures, which of the following statements should be included? -
answer-For any services billed, documentation must be present in the patient's medical
record to support the services.
, Question 5
City Orthopedics, a large physician group practice employs several physician assistants
and nurse practitioners. There have been several questions by the physicians on how
incident to services should be billed. The compliance officer has called the Medicare
Administrative Contractor for the practice and was given some information on how
incident to services should be billed. Because the practice will be relying on the
information received from the Medicare Administrative Contractor, what steps should
the compliance officer take at the conclusion of the call according to the OIG
Compliance Guidance for Individual and Small Group Physician Practices? - answer-
Document the conversation and retain the records.
Question 6
Developing effective compliance policies and procedures is an important part of any
compliance program. To help your practice mitigate compliance risk, policies and
procedures should: - answer-Be sure any time frames or requirements listed can be
accomplished given the practice's resources.
Question 7
Select the best phrase from the list below to complete the following policy statement:
Centennial Medical Associates is committed to following Federal, State, and Local
laws, rules, guidelines, and regulations. To promote this effort, Centennial Medical
Associates will perform claims audits at least on an annual basis to
____________________. - answer-Verify accuracy of coding and reimbursement for the
services performed.
Question 8
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? - answer-
Reviewing reports to see that new employees and vendors have been checked against
the OIG's list of excluded individuals and entities.
Question 9
For larger physician practices, how frequently does the OIG recommend reporting
compliance activities to the Board of Directors and CEO? - answer-Regularly
PROFESSIONAL COMPLIANCE
OFFICER)- AAPC EXAM 2026
ACCURATE REAL EXAM
QUESTIONS AND VERIFIED
CORRECT ANSWERS (LATEST!!)
Question 1
Under Public Law 104-191, the Health Insurance Portability and Accountability Act of
1996 (HIPAA), 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?
- answer-Health Care Fraud and Abuse Control Program (HCFAC)
Question 2
According to the Federal Sentencing Guidelines, "To have an effective compliance and
ethics program..., an organization shall exercise due diligence to prevent and detect
criminal conduct." The FSGs also state organizations shall: - answer-Promote an
organizational culture that encourages ethical conduct and a commitment to
compliance with the law.
Question 3
If a physician practice uses another entity's standards of conduct, the practice must: -
answer-Tailor those materials to the physician practice where they will be applied.
Question 4
As the compliance contact for your physician practice, you are charged with developing
the policies and procedures related to coding and billing. When developing these
policies and procedures, which of the following statements should be included? -
answer-For any services billed, documentation must be present in the patient's medical
record to support the services.
, Question 5
City Orthopedics, a large physician group practice employs several physician assistants
and nurse practitioners. There have been several questions by the physicians on how
incident to services should be billed. The compliance officer has called the Medicare
Administrative Contractor for the practice and was given some information on how
incident to services should be billed. Because the practice will be relying on the
information received from the Medicare Administrative Contractor, what steps should
the compliance officer take at the conclusion of the call according to the OIG
Compliance Guidance for Individual and Small Group Physician Practices? - answer-
Document the conversation and retain the records.
Question 6
Developing effective compliance policies and procedures is an important part of any
compliance program. To help your practice mitigate compliance risk, policies and
procedures should: - answer-Be sure any time frames or requirements listed can be
accomplished given the practice's resources.
Question 7
Select the best phrase from the list below to complete the following policy statement:
Centennial Medical Associates is committed to following Federal, State, and Local
laws, rules, guidelines, and regulations. To promote this effort, Centennial Medical
Associates will perform claims audits at least on an annual basis to
____________________. - answer-Verify accuracy of coding and reimbursement for the
services performed.
Question 8
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? - answer-
Reviewing reports to see that new employees and vendors have been checked against
the OIG's list of excluded individuals and entities.
Question 9
For larger physician practices, how frequently does the OIG recommend reporting
compliance activities to the Board of Directors and CEO? - answer-Regularly
