CPCO CHAPTER 1 EXAM QUESTIONS
AND ANSWERS
What is the mission of the Office of Inspector General (OIG)? - ANSWER-To protect
the integrity of Department of Health & Human Services
(HHS) programs as well as the health and welfare of program
beneficiaries.
which is not classified as a federal health care provider conscience protection law?
1 The Church Amendments
2 Section 245 of the public health service act
3 Weldon Amendment
4 The Civil Rights Act of 1964 - ANSWER-The Civil Rights Act of 1964
the OIG oversees The Church Amendments, section 245 of the Public Health
Service Act, and the Weldon Amendment. These 3 statutes are collectively known as
the Federal Healthcare Provider Conscience Protection Laws.
Which 3 statutes are collectively known as the Federal Healthcare Provider
Conscience Protection Laws? - ANSWER-The Church Amendments, section 245 of
the Public Health Service Act, and the Weldon Amendment.
What is the OIG's Five-Principle Strategy made up of - ANSWER-Enrollment,
Payment, Compliance, Oversight, and response
Dr K was convicted of a crime and can no longer participate in the Medicare and
Medicaid program. What is this referred to as? - ANSWER-Exclusion
When working with corporate compliance, what does CIA stand for? - ANSWER-
Corporate Integrity Agreement
Dr. X feels that he should add on an extra code for every Medicaid patient that he
sees because he does not think he makes enough money from this payer.
He always adds on a flu injection, even if the patient does not get the
injection. What is this an example of? - ANSWER-Fraud
The OIG has stated that an effective compliance plan can help create what? -
ANSWER-Customer loyalty, Community support, and financial success
The Office of Inspector General (OIG) has been at the forefront of the nation's efforts
to fight fraud, abuse, and waste. A majority of the OIG's resources goes to oversight
of which programs? - ANSWER-Medicare and Medicaid (CMS)
What does LEP stand for? - ANSWER-Limited English Proficiency
Kim is the compliance officer for a large provider group. One of the billers for the
group enters codes from the encounter forms every evening before she goes home
AND ANSWERS
What is the mission of the Office of Inspector General (OIG)? - ANSWER-To protect
the integrity of Department of Health & Human Services
(HHS) programs as well as the health and welfare of program
beneficiaries.
which is not classified as a federal health care provider conscience protection law?
1 The Church Amendments
2 Section 245 of the public health service act
3 Weldon Amendment
4 The Civil Rights Act of 1964 - ANSWER-The Civil Rights Act of 1964
the OIG oversees The Church Amendments, section 245 of the Public Health
Service Act, and the Weldon Amendment. These 3 statutes are collectively known as
the Federal Healthcare Provider Conscience Protection Laws.
Which 3 statutes are collectively known as the Federal Healthcare Provider
Conscience Protection Laws? - ANSWER-The Church Amendments, section 245 of
the Public Health Service Act, and the Weldon Amendment.
What is the OIG's Five-Principle Strategy made up of - ANSWER-Enrollment,
Payment, Compliance, Oversight, and response
Dr K was convicted of a crime and can no longer participate in the Medicare and
Medicaid program. What is this referred to as? - ANSWER-Exclusion
When working with corporate compliance, what does CIA stand for? - ANSWER-
Corporate Integrity Agreement
Dr. X feels that he should add on an extra code for every Medicaid patient that he
sees because he does not think he makes enough money from this payer.
He always adds on a flu injection, even if the patient does not get the
injection. What is this an example of? - ANSWER-Fraud
The OIG has stated that an effective compliance plan can help create what? -
ANSWER-Customer loyalty, Community support, and financial success
The Office of Inspector General (OIG) has been at the forefront of the nation's efforts
to fight fraud, abuse, and waste. A majority of the OIG's resources goes to oversight
of which programs? - ANSWER-Medicare and Medicaid (CMS)
What does LEP stand for? - ANSWER-Limited English Proficiency
Kim is the compliance officer for a large provider group. One of the billers for the
group enters codes from the encounter forms every evening before she goes home
