CPCO Exam Study Guide | Best Rated
Questions and Verified Answers| 2023/ 2024
Newly Updated
QUESTION
OSHA was created to assure safe and healthful working conditions for working men and women
by?
Answer:
Enforcing standards
Providing training
Outreach, education and assistance
QUESTION
MAC's are responsible for administering the what for Medicare Services?
Answer:
Refunds
QUESTION
The guidance provided by the OIG can be incorporated in policies to prevent ____________and
_____________errors from occurring.
Answer:
Coding and billing
QUESTION
CMS is a division of ______.
Answer:
,HHS
QUESTION
CMS is headquartered in Baltimore and has _________regional offices around the country,
which primarily oversee enrollment and certification issues.
Answer:
10
QUESTION
Form CMS-R-131 is better known as?
Answer:
Advanced beneficiary notice of non-coverage
QUESTION
_________provides advisory opinions on the anti-kickback law.
Answer:
OIG
QUESTION
Because it is such a large component of their responsibility, what percentage of resources does
OIG dedicate to Medicare and Medicaid?
Answer:
80%
QUESTION
Hospital compliance guidance was published by the OIG in February of what year?
,Answer:
1998
QUESTION
When was the supplemental compliance guidance for hospitals published?
Answer:
2005
QUESTION
What is a typical term of a Certification of Compliance Agreement (CCA)?
Answer:
three years
QUESTION
What is the mission of the OIG?
Answer:
protect the integrity of Department of Health & Human Services (HHS) programs as well as the
health and welfare of program beneficiaries
QUESTION
Which OIG office conducts criminal, civil and administrative investigations of fraud and
misconduct related to HHS programs, operations and beneficiaries?
Answer:
Office of Investigations
QUESTION
, Who is responsible for enforcing the HIPAA Privacy Rule and Security Rule provisions?
Answer:
Office of Civil Rights (OCR)
QUESTION
What is the OIG's Five-Principle Strategy to combat healthcare fraud, waste, and abuse?
Answer:
1-Enrollment = scrutinize individuals and entities that WANT to participate PRIOR to
enrollment
2-Payment = Establish payment methodologies that are reasonable and responsive to changes in
the marketplace
3-compliance = Assist providers and suppliers in adopting practices that promote compliance
with program requirements, including quality and safety standards
4-Oversight=Vigilantly monitor programs for evidence of fraud, waste, and abuse
5-Response=respond swiftly to detect fraud, impose sufficient punishment and promptly remedy
program vulnerabilities
QUESTION
In February 1998, the OIG created the first compliance document. What type of provider was the
first Compliance Program Guidance issued for?
Answer:
Hospitals
QUESTION
Seven elements the OIG states are necessary in an effective compliance program:
Answer:
1-Conducting internal monitoring and auditing
Questions and Verified Answers| 2023/ 2024
Newly Updated
QUESTION
OSHA was created to assure safe and healthful working conditions for working men and women
by?
Answer:
Enforcing standards
Providing training
Outreach, education and assistance
QUESTION
MAC's are responsible for administering the what for Medicare Services?
Answer:
Refunds
QUESTION
The guidance provided by the OIG can be incorporated in policies to prevent ____________and
_____________errors from occurring.
Answer:
Coding and billing
QUESTION
CMS is a division of ______.
Answer:
,HHS
QUESTION
CMS is headquartered in Baltimore and has _________regional offices around the country,
which primarily oversee enrollment and certification issues.
Answer:
10
QUESTION
Form CMS-R-131 is better known as?
Answer:
Advanced beneficiary notice of non-coverage
QUESTION
_________provides advisory opinions on the anti-kickback law.
Answer:
OIG
QUESTION
Because it is such a large component of their responsibility, what percentage of resources does
OIG dedicate to Medicare and Medicaid?
Answer:
80%
QUESTION
Hospital compliance guidance was published by the OIG in February of what year?
,Answer:
1998
QUESTION
When was the supplemental compliance guidance for hospitals published?
Answer:
2005
QUESTION
What is a typical term of a Certification of Compliance Agreement (CCA)?
Answer:
three years
QUESTION
What is the mission of the OIG?
Answer:
protect the integrity of Department of Health & Human Services (HHS) programs as well as the
health and welfare of program beneficiaries
QUESTION
Which OIG office conducts criminal, civil and administrative investigations of fraud and
misconduct related to HHS programs, operations and beneficiaries?
Answer:
Office of Investigations
QUESTION
, Who is responsible for enforcing the HIPAA Privacy Rule and Security Rule provisions?
Answer:
Office of Civil Rights (OCR)
QUESTION
What is the OIG's Five-Principle Strategy to combat healthcare fraud, waste, and abuse?
Answer:
1-Enrollment = scrutinize individuals and entities that WANT to participate PRIOR to
enrollment
2-Payment = Establish payment methodologies that are reasonable and responsive to changes in
the marketplace
3-compliance = Assist providers and suppliers in adopting practices that promote compliance
with program requirements, including quality and safety standards
4-Oversight=Vigilantly monitor programs for evidence of fraud, waste, and abuse
5-Response=respond swiftly to detect fraud, impose sufficient punishment and promptly remedy
program vulnerabilities
QUESTION
In February 1998, the OIG created the first compliance document. What type of provider was the
first Compliance Program Guidance issued for?
Answer:
Hospitals
QUESTION
Seven elements the OIG states are necessary in an effective compliance program:
Answer:
1-Conducting internal monitoring and auditing
