CPCO Exam| Questions and Verified
Answers (2023/ 2024 Latest Update)
1. Regulations State That Services Provided By Teaching Positions In Teaching Settings
Are Generally Payable Under The Physician Fee Schedule Only If The Services Are
Personally Furnished By Position Who Is...
✓ Answer: Not A Resident
2. A Compliance Officer Explains To A Group Of Providers But Many Types Of Acronyms
That Are Associated With Healthcare Compliance. One Of The Providers Asks What The
Acronym MIP Refers To?
✓ Answer: Medicaid Integrity
3. John Explains To The Providers And Staff At ABC Medical Group That CERT Looks At
The Following Concerns:
✓ Answer: No Documentation, Insufficient Documentation, Medical
Necessity And Incorrect Coding
4. Can A Provider Disregard And Auditors Request For Records For A CERT Review?
✓ Answer: No They Can Face Imprisonment For Withholding Information
From Government
5. Medicaid Fraud Control Units Investigate And Prosecute Medicaid Provider Fraud As
Well...
, ✓ Answer: As Well As Patient Abuse
6. Can CMS Take Back Money Is Without Reviewing A Patient's Record?
✓ Answer: Yes Through The Use Of Data Mining
7. What To Organizations Work Together To Protect Individual Fundamental Right Of
Non-Discrimination And Health Information Privacy?
✓ Answer: Federal Civil Rights Law And HIPAA Privacy Rules
8. The OIG's... To Congress Keeps The Secretary Of The HHS And Congress Currently
Informed About YG's Most Significant Findings Recommendations And Activities
Monthly
✓ Answer: It's For Your Report
9. Where Can You Compliance Officer From A Family Practice Look For Information On
Risk Specifically Associated With His Or Her Practice Type?
✓ Answer: American Academy Of Family Physicians
10. Because It Is Such A Large Component Of The Responsibility What Percentage Of
Resources Does A YG Dedicate To Medicare And Medicaid
✓ Answer: 80%
11. What Is One Of The Main Responsibilities Of The CMS Regional Offices?
, ✓ Answer: Work On Quality Initiatives
12. What Department Overseas The ZPICS And Medic?
✓ Answer: Medicare Fraud Unit
13. What Department Helps Protect Patients From Unfair Treatment Or Discrimination?
✓ Answer: Office Of Civil Rights
14. What Government Department Is Comprised Of Thousands Of Employees Who Enforce
The Nations Federal Criminal Laws And Help And Implement Criminal Law Policies?
✓ Answer: The DOJ
15. Which Department Is The Largest Inspector General's Office In The Federal Government
✓ Answer: Office Of Inspector General
16. What Term Would Be Used For Action That Either Directly Or Indirectly Results In
Unnecessary Costs To The Medicare Program?
✓ Answer: Abuse
17. Which Federal Government Department Is The OIG Not Responsible For Overseeing?
✓ Answer: DEA
, 18. Which Of The Following Can Be A Result Of An Effective Compliance Program
✓ Answer: Help Create Financial Success Customer Loyalty Community
Support And Employee Satisfaction
19. What Is Required For A Compliance Program To Be Effective?
✓ Answer: Regularly Review And Update The Compliance Program
20. How Many Elements Are Required To Have A Successful Compliance Program?
✓ Answer: Seven
21. In What Year Did The OIG Post Guidance For Hospitals
✓ Answer: 1998
22. Which Entity Below Could Not Bill For Medical Lien Unnecessary Services? Hospitals
Physicians Ancillary Providers Or Patients?
✓ Answer: Patients
23. What Is The Most Important Aspect Of A Compliance Program?
✓ Answer: Implementation
Answers (2023/ 2024 Latest Update)
1. Regulations State That Services Provided By Teaching Positions In Teaching Settings
Are Generally Payable Under The Physician Fee Schedule Only If The Services Are
Personally Furnished By Position Who Is...
✓ Answer: Not A Resident
2. A Compliance Officer Explains To A Group Of Providers But Many Types Of Acronyms
That Are Associated With Healthcare Compliance. One Of The Providers Asks What The
Acronym MIP Refers To?
✓ Answer: Medicaid Integrity
3. John Explains To The Providers And Staff At ABC Medical Group That CERT Looks At
The Following Concerns:
✓ Answer: No Documentation, Insufficient Documentation, Medical
Necessity And Incorrect Coding
4. Can A Provider Disregard And Auditors Request For Records For A CERT Review?
✓ Answer: No They Can Face Imprisonment For Withholding Information
From Government
5. Medicaid Fraud Control Units Investigate And Prosecute Medicaid Provider Fraud As
Well...
, ✓ Answer: As Well As Patient Abuse
6. Can CMS Take Back Money Is Without Reviewing A Patient's Record?
✓ Answer: Yes Through The Use Of Data Mining
7. What To Organizations Work Together To Protect Individual Fundamental Right Of
Non-Discrimination And Health Information Privacy?
✓ Answer: Federal Civil Rights Law And HIPAA Privacy Rules
8. The OIG's... To Congress Keeps The Secretary Of The HHS And Congress Currently
Informed About YG's Most Significant Findings Recommendations And Activities
Monthly
✓ Answer: It's For Your Report
9. Where Can You Compliance Officer From A Family Practice Look For Information On
Risk Specifically Associated With His Or Her Practice Type?
✓ Answer: American Academy Of Family Physicians
10. Because It Is Such A Large Component Of The Responsibility What Percentage Of
Resources Does A YG Dedicate To Medicare And Medicaid
✓ Answer: 80%
11. What Is One Of The Main Responsibilities Of The CMS Regional Offices?
, ✓ Answer: Work On Quality Initiatives
12. What Department Overseas The ZPICS And Medic?
✓ Answer: Medicare Fraud Unit
13. What Department Helps Protect Patients From Unfair Treatment Or Discrimination?
✓ Answer: Office Of Civil Rights
14. What Government Department Is Comprised Of Thousands Of Employees Who Enforce
The Nations Federal Criminal Laws And Help And Implement Criminal Law Policies?
✓ Answer: The DOJ
15. Which Department Is The Largest Inspector General's Office In The Federal Government
✓ Answer: Office Of Inspector General
16. What Term Would Be Used For Action That Either Directly Or Indirectly Results In
Unnecessary Costs To The Medicare Program?
✓ Answer: Abuse
17. Which Federal Government Department Is The OIG Not Responsible For Overseeing?
✓ Answer: DEA
, 18. Which Of The Following Can Be A Result Of An Effective Compliance Program
✓ Answer: Help Create Financial Success Customer Loyalty Community
Support And Employee Satisfaction
19. What Is Required For A Compliance Program To Be Effective?
✓ Answer: Regularly Review And Update The Compliance Program
20. How Many Elements Are Required To Have A Successful Compliance Program?
✓ Answer: Seven
21. In What Year Did The OIG Post Guidance For Hospitals
✓ Answer: 1998
22. Which Entity Below Could Not Bill For Medical Lien Unnecessary Services? Hospitals
Physicians Ancillary Providers Or Patients?
✓ Answer: Patients
23. What Is The Most Important Aspect Of A Compliance Program?
✓ Answer: Implementation
