Certified Professional Compliance Officer CPCO
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Kim, Compliance Officer for ABC Provider Group, created
a compliance plan and policy a year ago. While reviewing
the groups Baseline Audits it comes to her attention that
many of the staff have decided NOT to follow the
compliance plan. The Non-Compliance has
____________? - Answer-created a big risk of the group
and Kim needs to make sure that everyone knows about
the risk of not following the compliance plan
A high-level statement or plan that embraces an
organization's general beliefs, goals, objectives and
acceptable procedure for a specified subject area is a
_______________? - Answer-policy
Kim is the Compliance Officer for ABC Provider Group.
Kim has read the OIG Compliance Program Guidance that
acknowledges patient care as the first priority of a
physician practice. As the Compliance Officer (CO), Kim
should implement what type of compliance model? -
Answer-A "patients first"
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It is important to educate employees of the methods they
may utilize to directly notify and communicate issues of
suspected areas of non-compliance. What is considered a
best practice method of anonymous reporting? - Answer-
intra-office or USPS mail
Tim at XYZ wants to conduct a baseline audit to help
determine? - Answer-areas of the billing department that
might be in compliance
When the term Open Door Policy is used in reference to
the Effective Communication, what is this referring to? -
Answer-The Compliance Officer is accessible to all
employees via many methods of communication
When Kim from ABC Provider Group is conducting a risk
assessment, one of the most important and key sources of
information that Kim as the Compliance Officer should
utilize is_____________. - Answer-the Office of Inspector
General's Annual Work Plan
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The mission statement of the healthcare organization and
a statement of why they are in business are also known as
_________? - Answer-The Code of conduct
How often should the Tim, Compliance Officer for XYZ
Community Hospital update the compliance program and
plan? - Answer-As laws and regulations change; and at
least annually
After an employee receives their initial training regarding
the practice/organization Compliance Program what is the
next step the compliance officer should take to protect the
practice against potential noncompliance activity? -
Answer-Perform a baseline assessment of the employee's
competency scores to determine if additional training is
required
ABC Provider Group and Apple Medical Group agree to
pool their resources for the purpose of accomplishing a
specific task. This is called _____________. - Answer-
Joint ventures
The following is not a level of non-compliance: - Answer-
Mistake in billing
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For potential criminal violations, a practice should have
immediate discussions with a criminal attorney who -
Answer-Is well versed in Healthcare Fraud and Abuse law
The Compliance Officer's main two responsibilities are to
____________the practice/organization's compliance
program. - Answer-develops and then implement
One of the most important elements of an effective
compliance program is to have a compliance officer or
committee who is__________. - Answer-empowered
If an employee, provider or anyone that deals with Federal
or State healthcare dollars has intent to receive payment
for services not legitimately rendered this is considered
______________? - Answer-fraud
Joan, as an employee of a healthcare organization, has
_________to report erroneous conduct, without
repercussions, so that it may be corrected immediately -
Answer-duty