CPCO ACTUAL EXAM TEST PAPER FULL QUESTIONS CORRECT RESPONSES
Question:
If an employee, provider or anyone that deals with Federal or State healthcare dollars has intent to
receive payment for services not legitimately rendered this is considered ______________?
Answer:
fraud
Question:
Joan, as an employee of a healthcare organization, has _________to report erroneous conduct,
without repercussions, so that it may be corrected immediately
Answer:
duty
Question:
person who exposes misconduct, alleged dishonest or illegal activity occurring in an organization is
called a______________?
Answer:
relator
Question:
The compliance program will flounder if employees of the organization are not aware of
_________?
Answer:
laws and regulations that pertain to their specific job descriptions
,Question:
When physicians (or their staff) make billing mistakes and errors the most important thing to do is
_________?
Answer:
Send a refund
Question:
Judy is the Compliance Officer for Apple Medical Group. The practice is a small group of
providers. Judy wants to have an open door policy as suggested by the OIG, thus she will?
Answer:
Post notices of up-to-date compliance information on the employee bulletin board
Question:
Participants in the Federal healthcare programs have an obligation to take measures, such as
instituting a compliance program, to _________________?
Answer:
detects and prevent fraudulent, abusive and wasteful activities
Question:
Tim, the Compliance Officer for XYZ Community Hospital, should report to whom?
Answer:
CEO or Board
Question:
The biller at XYZ Community Hospital wants to win the award every month for posting the most
insurance checks. Instead of giving the claims 30-60 days to clear, she bills them again at the end of
the month. This is an example of?
,Answer:
double billing
Question:
The OIG has described seven basic components of an effective compliance program for a small
physician practice that are based from the _______________?
Answer:
Federal Sentencing Guidelines
Question:
Kim, Compliance Officer for ABC Provider Group, created a compliance plan and policy a year
ago. While reviewing the groups Baseline Audits it comes to her attention that many of the staff
have decided NOT to follow the compliance plan. The Non-Compliance has ____________?
Answer:
created a big risk of the group and Kim needs to make sure that everyone knows about the risk of
not following the compliance plan
Question:
A high-level statement or plan that embraces an organization's general beliefs, goals, objectives and
acceptable procedure for a specified subject area is a _______________?
Answer:
policy
Question:
Kim is the Compliance Officer for ABC Provider Group. Kim has read the OIG Compliance
Program Guidance that acknowledges patient care as the first priority of a physician practice. As the
Compliance Officer (CO), Kim should implement what type of compliance model?
Answer:
A "patients first"
, Question:
It is important to educate employees of the methods they may utilize to directly notify and
communicate issues of suspected areas of non- compliance. What is considered a best practice
method of anonymous reporting?
Answer:
intra-office or USPS mail
Question:
Tim at XYZ wants to conduct a baseline audit to help determine?
Answer:
areas of the billing department that might be in compliance
Question:
When the term Open Door Policy is used in reference to the Effective Communication, what is this
referring to?
Answer:
The Compliance Officer is accessible to all employees via many methods of communication
Question:
When Kim from ABC Provider Group is conducting a risk assessment, one of the most important
and key sources of information that Kim as the Compliance Officer should utilize
is_____________.
Answer:
the Office of Inspector General's Annual Work Plan
Question:
The mission statement of the healthcare organization and a statement of why they are in business are
also known as _________?
Question:
If an employee, provider or anyone that deals with Federal or State healthcare dollars has intent to
receive payment for services not legitimately rendered this is considered ______________?
Answer:
fraud
Question:
Joan, as an employee of a healthcare organization, has _________to report erroneous conduct,
without repercussions, so that it may be corrected immediately
Answer:
duty
Question:
person who exposes misconduct, alleged dishonest or illegal activity occurring in an organization is
called a______________?
Answer:
relator
Question:
The compliance program will flounder if employees of the organization are not aware of
_________?
Answer:
laws and regulations that pertain to their specific job descriptions
,Question:
When physicians (or their staff) make billing mistakes and errors the most important thing to do is
_________?
Answer:
Send a refund
Question:
Judy is the Compliance Officer for Apple Medical Group. The practice is a small group of
providers. Judy wants to have an open door policy as suggested by the OIG, thus she will?
Answer:
Post notices of up-to-date compliance information on the employee bulletin board
Question:
Participants in the Federal healthcare programs have an obligation to take measures, such as
instituting a compliance program, to _________________?
Answer:
detects and prevent fraudulent, abusive and wasteful activities
Question:
Tim, the Compliance Officer for XYZ Community Hospital, should report to whom?
Answer:
CEO or Board
Question:
The biller at XYZ Community Hospital wants to win the award every month for posting the most
insurance checks. Instead of giving the claims 30-60 days to clear, she bills them again at the end of
the month. This is an example of?
,Answer:
double billing
Question:
The OIG has described seven basic components of an effective compliance program for a small
physician practice that are based from the _______________?
Answer:
Federal Sentencing Guidelines
Question:
Kim, Compliance Officer for ABC Provider Group, created a compliance plan and policy a year
ago. While reviewing the groups Baseline Audits it comes to her attention that many of the staff
have decided NOT to follow the compliance plan. The Non-Compliance has ____________?
Answer:
created a big risk of the group and Kim needs to make sure that everyone knows about the risk of
not following the compliance plan
Question:
A high-level statement or plan that embraces an organization's general beliefs, goals, objectives and
acceptable procedure for a specified subject area is a _______________?
Answer:
policy
Question:
Kim is the Compliance Officer for ABC Provider Group. Kim has read the OIG Compliance
Program Guidance that acknowledges patient care as the first priority of a physician practice. As the
Compliance Officer (CO), Kim should implement what type of compliance model?
Answer:
A "patients first"
, Question:
It is important to educate employees of the methods they may utilize to directly notify and
communicate issues of suspected areas of non- compliance. What is considered a best practice
method of anonymous reporting?
Answer:
intra-office or USPS mail
Question:
Tim at XYZ wants to conduct a baseline audit to help determine?
Answer:
areas of the billing department that might be in compliance
Question:
When the term Open Door Policy is used in reference to the Effective Communication, what is this
referring to?
Answer:
The Compliance Officer is accessible to all employees via many methods of communication
Question:
When Kim from ABC Provider Group is conducting a risk assessment, one of the most important
and key sources of information that Kim as the Compliance Officer should utilize
is_____________.
Answer:
the Office of Inspector General's Annual Work Plan
Question:
The mission statement of the healthcare organization and a statement of why they are in business are
also known as _________?
