CPCO Certification Questions and Answers with Verified Solutions |
Latest 2026 Update
Q: A. Mail Fraud
Answer:
Any health care fraud scheme that disseminate any article or document
through a "common mail carrier" may be the basis for a charge of:
Q: A. Mail Fraud
Answer:
B. Wire Fraud
C. Mail Fraud and Wire Fraud
D. False Claims
Q: A. To avoid exclusion from participation in Federal health care programs When
agreeing to a global civil fraud settlement, what is the most popular reason why
a provider agrees to enter into a Corporate Integrity Agreement?
Answer:
,CPCO Certification Questions and Answers with Verified Solutions |
Latest 2026 Update
Q: A. To avoid exclusion from participation in Federal health care programs
Answer:
B. To obtain a Civil Monetary Penalty reduction
C. To obtain a fine reduction
D. To avoid incarceration
Q: D. Yes, this requirement applies to physicians and employees of the practice. A
new orthopedic physician is being hired in a group practice. The group has been
searching for quite a while and finally found the perfect candidate. As part of the
practice's hiring process, employees must be checked against the OIG and GSA
lists for excluded parties. Does this practice also apply to physicians?
Answer:
,CPCO Certification Questions and Answers with Verified Solutions |
Latest 2026 Update
Q: A. No, this requirement only applies to non-medical employees of the practice.
Answer:
B. No, this requirement only applies to non-medical employees of the practice and
vendors.
C. Yes, this requirement only applies to physicians.
D. Yes, this requirement applies to physicians and employees of the practice.
Q: E. Both C and D A physician practice hired a consultant to perform external
audit services for their practice. After the consultant began working, the OIG
and GSA lists were checked and it was found the consultant was excluded from
participation. What steps should the practice take?
Answer:
, CPCO Certification Questions and Answers with Verified Solutions |
Latest 2026 Update
Q: A. Nothing. Because the consultant is not ordering, referring, or performing
medical services,
Answer:
there is no problem.
B. Report the consultant to the OIG for violating her exclusion status.
C. Immediately ask the consultant to stop work.
D. Contact legal counsel.
E. Both C and D
Q: D. Zone Program Integrity Contractors (ZPICs) Which entity provides benefit
integrity investigations based on billing abnormalities identified by data analysis
or allegations of fraud and abuse, as well as conducts reviews that will allow
them to compare billing of Medicare claims to Medicaid claims known as the
"Medi-Medi" program that helps to identify fraudulent activity between the two
programs?
Answer:
Latest 2026 Update
Q: A. Mail Fraud
Answer:
Any health care fraud scheme that disseminate any article or document
through a "common mail carrier" may be the basis for a charge of:
Q: A. Mail Fraud
Answer:
B. Wire Fraud
C. Mail Fraud and Wire Fraud
D. False Claims
Q: A. To avoid exclusion from participation in Federal health care programs When
agreeing to a global civil fraud settlement, what is the most popular reason why
a provider agrees to enter into a Corporate Integrity Agreement?
Answer:
,CPCO Certification Questions and Answers with Verified Solutions |
Latest 2026 Update
Q: A. To avoid exclusion from participation in Federal health care programs
Answer:
B. To obtain a Civil Monetary Penalty reduction
C. To obtain a fine reduction
D. To avoid incarceration
Q: D. Yes, this requirement applies to physicians and employees of the practice. A
new orthopedic physician is being hired in a group practice. The group has been
searching for quite a while and finally found the perfect candidate. As part of the
practice's hiring process, employees must be checked against the OIG and GSA
lists for excluded parties. Does this practice also apply to physicians?
Answer:
,CPCO Certification Questions and Answers with Verified Solutions |
Latest 2026 Update
Q: A. No, this requirement only applies to non-medical employees of the practice.
Answer:
B. No, this requirement only applies to non-medical employees of the practice and
vendors.
C. Yes, this requirement only applies to physicians.
D. Yes, this requirement applies to physicians and employees of the practice.
Q: E. Both C and D A physician practice hired a consultant to perform external
audit services for their practice. After the consultant began working, the OIG
and GSA lists were checked and it was found the consultant was excluded from
participation. What steps should the practice take?
Answer:
, CPCO Certification Questions and Answers with Verified Solutions |
Latest 2026 Update
Q: A. Nothing. Because the consultant is not ordering, referring, or performing
medical services,
Answer:
there is no problem.
B. Report the consultant to the OIG for violating her exclusion status.
C. Immediately ask the consultant to stop work.
D. Contact legal counsel.
E. Both C and D
Q: D. Zone Program Integrity Contractors (ZPICs) Which entity provides benefit
integrity investigations based on billing abnormalities identified by data analysis
or allegations of fraud and abuse, as well as conducts reviews that will allow
them to compare billing of Medicare claims to Medicaid claims known as the
"Medi-Medi" program that helps to identify fraudulent activity between the two
programs?
Answer:
