CPCO Exam Study Guide | Best Rated Ques
m m m m m m m
tions and Verified Answers| 2023/ 2024 Newl
m m m m m m
y Updated m
QUESTION
OSHA mwasmcreated mtomassuremsafemand mhealthfulmworkingmconditionsmformworkingmmenmand mwom
enmby?
Answer:
Enforcingmstandards
Providingmtraining
m
Outreach,meducationmand massistance
QUESTION
MAC'smaremresponsiblemformadministeringmthemwhat mformMedicaremServices?
Answer:
Refunds
QUESTION
Themguidancemprovided mbymthemOIG mcanmbemincorporated minmpoliciesmtomprevent m and
errorsmfrommoccurring.
Answer:
Codingmand mbilling
QUESTION
CMSmismamdivisionmof m .
Answer:
,HHS
QUESTION
CMSmismheadquartered minmBaltimoremand mhasm
regionalmofficesmaround mthemcountry
,mwhichmprimarilymoverseemenrollment mand mcertificationmissues.
Answer:
10
QUESTION
FormmCMS-R-131mismbettermknownmas?
Answer:
Advanced mbeneficiarymnoticemof mnon-coverage
QUESTION
providesmadvisorymopinionsmonmthemanti-kickbackmlaw.
Answer:
OIG
QUESTION
Becausemit mismsuchmamlargemcomponent mof mtheirmresponsibility,mwhat mpercentagemof mresourcesmdoes
mOIG mdedicatemtomMedicaremand mMedicaid?
Answer:
80%
QUESTION
Hospitalmcompliancemguidancemwasmpublished mbymthemOIG minmFebruarymof mwhat myear?
,Answer:
1998
QUESTION
Whenmwasmthemsupplementalmcompliancemguidancemformhospitalsmpublished?
Answer:
2005
QUESTION
What mismamtypicalmtermmof mamCertificationmof mCompliancemAgreement m(CCA)?
Answer:
threemyears
QUESTION
What mismthemmissionmof mthemOIG?
Answer:
protect mthemintegritymof mDepartment mof mHealthm&mHumanmServicesm(HHS)mprogramsmasmwellmasmth
emhealthmand mwelfaremof mprogrammbeneficiaries
QUESTION
WhichmOIG mofficemconductsmcriminal,mcivilmand madministrativeminvestigationsmof mfraud mand mmisco
nduct mrelated mtomHHSmprograms,moperationsmand mbeneficiaries?
Answer:
Officemof mInvestigations
QUESTION
, WhomismresponsiblemformenforcingmthemHIPAA mPrivacymRulemand mSecuritymRulemprovisions?
Answer:
Officemof mCivilmRightsm(OCR)
QUESTION
What mismthemOIG'smFive-PrinciplemStrategymtomcombat mhealthcaremfraud,mwaste,mand mabuse?
Answer:
1-
Enrollment m=mscrutinizemindividualsmand mentitiesmthat mWANTmtomparticipatemPRIORmtomenro
llment
2-
Payment m=mEstablishmpayment mmethodologiesmthat maremreasonablemand mresponsivemtomchangesminmt
hemmarketplace
3-
compliancem=mAssist mprovidersmand msuppliersminmadoptingmpracticesmthat mpromotemcompliancemwi
thmprogrammrequirements,mincludingmqualitymand msafetymstandards
4- Oversight=Vigilantlymmonitormprogramsmformevidencemof mfraud,mwaste,mand mabuse
5- Response=respond mswiftlymtomdetect mfraud,mimposemsufficient mpunishment mand mpromptlymreme
dymprogrammvulnerabilities
QUESTION
InmFebruarym1998,mthemOIG mcreated mthemfirst mcompliancemdocument.mWhat mtypemof mprovidermwasmt
hemfirst mCompliancemProgrammGuidancemissued mfor?
Answer:
Hospitals
QUESTION
SevenmelementsmthemOIG mstatesmaremnecessaryminmanmeffectivemcompliancemprogram:
Answer:
1- Conductingminternalmmonitoringmand mauditing
m m m m m m m
tions and Verified Answers| 2023/ 2024 Newl
m m m m m m
y Updated m
QUESTION
OSHA mwasmcreated mtomassuremsafemand mhealthfulmworkingmconditionsmformworkingmmenmand mwom
enmby?
Answer:
Enforcingmstandards
Providingmtraining
m
Outreach,meducationmand massistance
QUESTION
MAC'smaremresponsiblemformadministeringmthemwhat mformMedicaremServices?
Answer:
Refunds
QUESTION
Themguidancemprovided mbymthemOIG mcanmbemincorporated minmpoliciesmtomprevent m and
errorsmfrommoccurring.
Answer:
Codingmand mbilling
QUESTION
CMSmismamdivisionmof m .
Answer:
,HHS
QUESTION
CMSmismheadquartered minmBaltimoremand mhasm
regionalmofficesmaround mthemcountry
,mwhichmprimarilymoverseemenrollment mand mcertificationmissues.
Answer:
10
QUESTION
FormmCMS-R-131mismbettermknownmas?
Answer:
Advanced mbeneficiarymnoticemof mnon-coverage
QUESTION
providesmadvisorymopinionsmonmthemanti-kickbackmlaw.
Answer:
OIG
QUESTION
Becausemit mismsuchmamlargemcomponent mof mtheirmresponsibility,mwhat mpercentagemof mresourcesmdoes
mOIG mdedicatemtomMedicaremand mMedicaid?
Answer:
80%
QUESTION
Hospitalmcompliancemguidancemwasmpublished mbymthemOIG minmFebruarymof mwhat myear?
,Answer:
1998
QUESTION
Whenmwasmthemsupplementalmcompliancemguidancemformhospitalsmpublished?
Answer:
2005
QUESTION
What mismamtypicalmtermmof mamCertificationmof mCompliancemAgreement m(CCA)?
Answer:
threemyears
QUESTION
What mismthemmissionmof mthemOIG?
Answer:
protect mthemintegritymof mDepartment mof mHealthm&mHumanmServicesm(HHS)mprogramsmasmwellmasmth
emhealthmand mwelfaremof mprogrammbeneficiaries
QUESTION
WhichmOIG mofficemconductsmcriminal,mcivilmand madministrativeminvestigationsmof mfraud mand mmisco
nduct mrelated mtomHHSmprograms,moperationsmand mbeneficiaries?
Answer:
Officemof mInvestigations
QUESTION
, WhomismresponsiblemformenforcingmthemHIPAA mPrivacymRulemand mSecuritymRulemprovisions?
Answer:
Officemof mCivilmRightsm(OCR)
QUESTION
What mismthemOIG'smFive-PrinciplemStrategymtomcombat mhealthcaremfraud,mwaste,mand mabuse?
Answer:
1-
Enrollment m=mscrutinizemindividualsmand mentitiesmthat mWANTmtomparticipatemPRIORmtomenro
llment
2-
Payment m=mEstablishmpayment mmethodologiesmthat maremreasonablemand mresponsivemtomchangesminmt
hemmarketplace
3-
compliancem=mAssist mprovidersmand msuppliersminmadoptingmpracticesmthat mpromotemcompliancemwi
thmprogrammrequirements,mincludingmqualitymand msafetymstandards
4- Oversight=Vigilantlymmonitormprogramsmformevidencemof mfraud,mwaste,mand mabuse
5- Response=respond mswiftlymtomdetect mfraud,mimposemsufficient mpunishment mand mpromptlymreme
dymprogrammvulnerabilities
QUESTION
InmFebruarym1998,mthemOIG mcreated mthemfirst mcompliancemdocument.mWhat mtypemof mprovidermwasmt
hemfirst mCompliancemProgrammGuidancemissued mfor?
Answer:
Hospitals
QUESTION
SevenmelementsmthemOIG mstatesmaremnecessaryminmanmeffectivemcompliancemprogram:
Answer:
1- Conductingminternalmmonitoringmand mauditing
