CPCO

This document includes CPCO exam questions with accurate and fully correct answers to support thorough exam preparation. It serves as a reliable study and revision resource, helping students review key topics and practice with exam-style questions.

CPCO Certification Exam Questions with Correct Verified Answers, Already Passed! (Complete & Accurate) What is the goal of ongoing auditing and monitoring in a physician's practice? A. Ongoing auditing and monitoring will prevent fraud B. Ongoing auditing and monitoring will enhance revenues by detecting instances of under coding. C. Ongoing auditing and monitoring will evaluate whether the physician practice's standards and procedures are current and accurate and whether the com...

CHC Exam Prep |2023/ 2024 Update| Questions and Verified Answers with Rationales| 100% Correct QUESTION You are in charge of payment of claims submitted from providers. You notice a certain diagnostic provider ("Doe Diagnostics") has requested a substantial payment for a large number of members. Many of these claims are for a certain procedure. You review the same type of procedure for other diagnostic providers and realize that Doe Diagnostics' claims far exceed any other provi...

CHC Exam |Study Questions and Verified Answers| 100% Correct (2023/ 2024) QUESTION Examples of "outliers" that OIG might identify in certain hospital relationships or arrangements with greatest risk of non-compliance: a. audit processes that includes e-visits, interviews, trend analysis, etc. b. medical office building leases consistent with fair market value c. large and inconsistent payments made to physicians without a written contract d. none of the above Answer: c. large and...

CHC Exam | Questions and Verified Answers| 100% Correct (2023/ 2024) QUESTION The CMP fine amounts are increased annually based on what act? a. Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015 b. Medicare Modernization Act of 2003 c. Health Insurance Portability and Accountability Act of 1996 d. Deficit Reduction Act of 2005 Answer: a. Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015. The Federal Civil Penalties Inflation Adjustment Act...

CPCO Certification Exam| Questions and Verified Answers| 2023/ 2024 Latest Update!!! QUESTION Which of the following settings is the incident-to rule not applicable? A. Hospital B. Solo-Physician office C. Group Practice D. Multi-Disciplinary Group Practice Answer: A. Hospital QUESTION 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 fr...

CPCO Exam Prep (2023/ 2024 Update) Questions and Verified Answers QUESTION If a violation has occurred, Kim, Compliance Officer at ABC Provider Group, will be required to develop and/or coordinate what type of plan? a. correspondence b. self-disclosure c. refund d. corrective action Answer:d. corrective action If a violation has occurred, the Compliance Officer will be required to develop and/or coordinate a corrective action plan. This plan should include a description of the discrep...

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?...

CPCO Exam Questions and Verified Answers (2023/ 2024 Latest Update!!) 1. Services furnished in teaching settings are paid under the Medicare Physician Fee Schedule (MPFS) if the services are: Answer: Personally furnished by a physician who is not a resident. 2. Which of the following settings is the incident-to rule not applicable? Answer: Hospital 3. Assignment is a written agreement between beneficiaries, their physicians or other suppliers, and Medicare. The beneficiary agrees to le...

CPCO Exam Practice (2023/ 2024 New Update) Questions and Verified Answers QUESTION A search warrant, State or federal (or both) allows the agents the right to what? Answer: to enter and seize documents QUESTION Which office is mainly responsible to investigate health care fraud waste and abuse? Answer: Office of Inspector General (OIG) QUESTION When drafting audit protocol in an internal investigation it should be carefully worded and tied to the regulatory scope and applicability re...