CPCO EXAM REVIEW SOLVED QUESTIONS COMPLETE ANSWERS GRADED A PLUS
Question:
Question 2 According to the Federal Sentencing Guidelines, "To have an effective compliance and
ethics program., an organization shall exercise due diligence to prevent and detect criminal
conduct." The FSGs also state organizations shall:
Answer:
Promote an organizational culture that encourages ethical conduct and a commitment to compliance
with the law.
Question:
Question 3 If a physician practice uses another entity's standards of conduct, the practice must:
Answer:
Tailor those materials to the physician practice where they will be applied.
Question:
Question 4 As the compliance contact for your physician practice, you are charged with developing
the policies and procedures related to coding and billing. When developing these policies and
procedures, which of the following statements should be included?
Answer:
For any services billed, documentation must be present in the patient's medical record to support the
services.
Question:
Question 5 City Orthopedics, a large physician group practice employs several physician assistants
and nurse practitioners. There have been several questions by the physicians on how incident to
services should be billed. The compliance officer has called the Medicare Administrative Contractor
for the practice and was given some information on how incident to services should be billed.
, Because the practice will be relying on the information received from the Medicare Administrative
Contractor, what steps should the compliance officer take at the conclusion of the call according to
the OIG Compliance Guidance for Individual and Small Group Physician Practices?
Answer:
Document the conversation and retain the records.
Question:
Question 6 Developing effective compliance policies and procedures is an important part of any
compliance program. To help your practice mitigate compliance risk, policies and procedures
should:
Answer:
Be sure any time frames or requirements listed can be accomplished given the practice's resources.
Question:
Question 7 Select the best phrase from the list below to complete the following policy statement:
Centennial Medical Associates is committed to following Federal, State, and Local laws, rules,
guidelines, and regulations. To promote this effort, Centennial Medical Associates will perform
claims audits at least on an annual basis to ____________________.
Answer:
Verify accuracy of coding and reimbursement for the services performed.
Question:
Question 8 You have just been identified as the compliance officer at your practice. The OIG
Compliance Guidance for Individual and Small Group Physician Practices suggests six specific
duties that may be assigned to you. What is one of those duties?
Answer:
Reviewing reports to see that new employees and vendors have been checked against the OIG's list
of excluded individuals and entities.
Question:
Question:
Question 2 According to the Federal Sentencing Guidelines, "To have an effective compliance and
ethics program., an organization shall exercise due diligence to prevent and detect criminal
conduct." The FSGs also state organizations shall:
Answer:
Promote an organizational culture that encourages ethical conduct and a commitment to compliance
with the law.
Question:
Question 3 If a physician practice uses another entity's standards of conduct, the practice must:
Answer:
Tailor those materials to the physician practice where they will be applied.
Question:
Question 4 As the compliance contact for your physician practice, you are charged with developing
the policies and procedures related to coding and billing. When developing these policies and
procedures, which of the following statements should be included?
Answer:
For any services billed, documentation must be present in the patient's medical record to support the
services.
Question:
Question 5 City Orthopedics, a large physician group practice employs several physician assistants
and nurse practitioners. There have been several questions by the physicians on how incident to
services should be billed. The compliance officer has called the Medicare Administrative Contractor
for the practice and was given some information on how incident to services should be billed.
, Because the practice will be relying on the information received from the Medicare Administrative
Contractor, what steps should the compliance officer take at the conclusion of the call according to
the OIG Compliance Guidance for Individual and Small Group Physician Practices?
Answer:
Document the conversation and retain the records.
Question:
Question 6 Developing effective compliance policies and procedures is an important part of any
compliance program. To help your practice mitigate compliance risk, policies and procedures
should:
Answer:
Be sure any time frames or requirements listed can be accomplished given the practice's resources.
Question:
Question 7 Select the best phrase from the list below to complete the following policy statement:
Centennial Medical Associates is committed to following Federal, State, and Local laws, rules,
guidelines, and regulations. To promote this effort, Centennial Medical Associates will perform
claims audits at least on an annual basis to ____________________.
Answer:
Verify accuracy of coding and reimbursement for the services performed.
Question:
Question 8 You have just been identified as the compliance officer at your practice. The OIG
Compliance Guidance for Individual and Small Group Physician Practices suggests six specific
duties that may be assigned to you. What is one of those duties?
Answer:
Reviewing reports to see that new employees and vendors have been checked against the OIG's list
of excluded individuals and entities.
Question:
