1|Page
CPCO CERTIFICATION EXAM LATEST 2026-2027 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
As part of a practice's compliance program, record retention
policies and procedures should be developed. This policy and
procedure should address the timeframes associated with the
retention of various records. When developing a policy, which of
the following statements should be present?
A. Specific records must be retained based upon the most
stringent requirement identified in federal or state law, or internal
policies and procedures.
B. Records will be retained based upon federal requirements as
this supersedes state law or internal policies/procedures.
C. Records will be retained based upon state requirements as this
supersedes federal law or internal policies/procedures.
D. Records will be retained based upon internal
policies/procedures as this supersedes both federal and state
laws. - ANSWER-A. Specific records must be retained based
upon the most stringent requirement identified in federal or state
law, or internal policies and procedures.
,2|Page
A patient being seen by a physician has unpaid medical bills in
excess of $5,000 after insurance payments. The patient has now
lost his job and has limited financial resources. The office
manager has reviewed the patient's financial situation to assess
the patient's ability to pay and has agreed to reduce the fees
owed to $2,500. Would this act violate the OIG gift allowance for
beneficiaries?
A. Yes, the OIG gift allowance must be followed, even if a patient
is unable to pay.
B. Yes, by discounting the price to the patient, the practice must
now increase fees to other payers, including Medicare, to make
up the difference which is not allowed.
C. No, this would be an exception to the OIG gift allowance
because it is based on the patient's ability to pay.
D. No, as long as the practice spreads out the fee reduction over
more than one year. - ANSWER-C. No, this would be an
exception to the OIG gift allowance because it is based on the
patient's ability to pay.
,3|Page
Services furnished in teaching settings are paid under the
Medicare Physician Fee Schedule (MPFS) if the services are:
A. Documented and co-signed by the teaching physician
identifying that he/she agrees with the residents note as long as
he/she personally reviewed the record and agreed with the
resident.
B. Furnished by a medical student when a teaching physician is
providing direct supervision during the critical or key portions of
the service.
C. Furnished by a medical student under a primary care exception
within an approved Graduate Medical Education (GME) Program
as long as the teaching physician is providing direct supervision
during the critical or key portions of the service.
D. Personally furnished by a physician who is not a resident. -
ANSWER-D. Personally furnished by a physician who is not a
resident.
Which of the following settings is the incident-to rule not
applicable?
, 4|Page
A. Hospital
B. Solo-Physician office
C. Group Practice
D. Multi-Disciplinary Group Practice - ANSWER-A. Hospital
An assignment is a written agreement between beneficiaries, their
physicians or other suppliers, and Medicare. The beneficiary
agrees to let the physician or other suppliers request direct
payment from Medicare for covered Part B services, equipment,
and supplies by assigning the claim to the physician or supplier.
As a result of a physician accepting assignment, he/she must
follow certain requirements. Which of the statements does not
accurately reflect the requirements of physicians accepting
assignment?
A. The physician/supplier who accepts assignment on a claim-by-
claim basis or who is a participating physician/supplier is
precluded from charging the enrollee more than the deductible
and coinsurance based upon the approved payment amount
determination.
CPCO CERTIFICATION EXAM LATEST 2026-2027 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
As part of a practice's compliance program, record retention
policies and procedures should be developed. This policy and
procedure should address the timeframes associated with the
retention of various records. When developing a policy, which of
the following statements should be present?
A. Specific records must be retained based upon the most
stringent requirement identified in federal or state law, or internal
policies and procedures.
B. Records will be retained based upon federal requirements as
this supersedes state law or internal policies/procedures.
C. Records will be retained based upon state requirements as this
supersedes federal law or internal policies/procedures.
D. Records will be retained based upon internal
policies/procedures as this supersedes both federal and state
laws. - ANSWER-A. Specific records must be retained based
upon the most stringent requirement identified in federal or state
law, or internal policies and procedures.
,2|Page
A patient being seen by a physician has unpaid medical bills in
excess of $5,000 after insurance payments. The patient has now
lost his job and has limited financial resources. The office
manager has reviewed the patient's financial situation to assess
the patient's ability to pay and has agreed to reduce the fees
owed to $2,500. Would this act violate the OIG gift allowance for
beneficiaries?
A. Yes, the OIG gift allowance must be followed, even if a patient
is unable to pay.
B. Yes, by discounting the price to the patient, the practice must
now increase fees to other payers, including Medicare, to make
up the difference which is not allowed.
C. No, this would be an exception to the OIG gift allowance
because it is based on the patient's ability to pay.
D. No, as long as the practice spreads out the fee reduction over
more than one year. - ANSWER-C. No, this would be an
exception to the OIG gift allowance because it is based on the
patient's ability to pay.
,3|Page
Services furnished in teaching settings are paid under the
Medicare Physician Fee Schedule (MPFS) if the services are:
A. Documented and co-signed by the teaching physician
identifying that he/she agrees with the residents note as long as
he/she personally reviewed the record and agreed with the
resident.
B. Furnished by a medical student when a teaching physician is
providing direct supervision during the critical or key portions of
the service.
C. Furnished by a medical student under a primary care exception
within an approved Graduate Medical Education (GME) Program
as long as the teaching physician is providing direct supervision
during the critical or key portions of the service.
D. Personally furnished by a physician who is not a resident. -
ANSWER-D. Personally furnished by a physician who is not a
resident.
Which of the following settings is the incident-to rule not
applicable?
, 4|Page
A. Hospital
B. Solo-Physician office
C. Group Practice
D. Multi-Disciplinary Group Practice - ANSWER-A. Hospital
An assignment is a written agreement between beneficiaries, their
physicians or other suppliers, and Medicare. The beneficiary
agrees to let the physician or other suppliers request direct
payment from Medicare for covered Part B services, equipment,
and supplies by assigning the claim to the physician or supplier.
As a result of a physician accepting assignment, he/she must
follow certain requirements. Which of the statements does not
accurately reflect the requirements of physicians accepting
assignment?
A. The physician/supplier who accepts assignment on a claim-by-
claim basis or who is a participating physician/supplier is
precluded from charging the enrollee more than the deductible
and coinsurance based upon the approved payment amount
determination.
