CPCO Chapter 3 Exam | Verified Exam Questions and Answers | Latest
Updated Study Material 2026
Question:
What should be readily accessible to all coding staff? Billing certification CPT™ codebook All essential
coding resources Nursing handbook
Answer:
All essential coding resources Coders must have up-to-date resources to code correctly and send out
correct claims.
Question:
What can providers review that will help them understand the compliance requirements of a clinical lab?
Laboratory Provider Handbook OIG's Clinical Lab Guidance OIG Developing an Effective Compliance
Program Physician Desk Reference
Answer:
OIG's Clinical Lab Guidance The OIG Clinical Lab Guidance provides pertinent information on effective
compliance and risk areas for laboratories.
Question:
Skilled Nursing Facilities (SNFs) are Medicare certified facilities that provide extended skilled nursing or
rehabilitative care. This care is reimbursed under which Medicare part(s)? A B C Part A and Part B
Answer:
Part A and Part B They SNFs are typically reimbursed under Part A for the costs of most items and
services, including room, board, and ancillary items and services. However, SNFs may also receive
payment under Medicare Part B.
Question:
How many states currently require nursing facilities to perform a background check of state records for
direct-access employees?
Answer:
Question:
10 35 43 50
Answer:
43 Out of 50 states, 43 have mandated background check requirements for individuals who have direct
contact with SNF patient and/or their personal possessions.
, Question:
How many states require nursing facilities to perform a FBI checks on employees? 3 5 10 27
Answer:
10 Out of 50 states, 10 states have mandated nursing homes perform an FBI background checks on
employees.
Question:
Which of the following should be reflected in a billing company's written policies and procedures?
Current Federal statutes only Current Federal and state statutes Current regional and Federal statutes
Current state statutes only
Answer:
Current Federal and state statutes With respect to claims, a billing company's written policies and
procedures should reflect and reinforce current federal and state statutes.
Question:
What third party plays a critical role in accurate billing and reimbursement? Billing agencies
Laboratories Nursing facilities Office of Inspector General (OIG)
Answer:
Billing agencies Providers have come to rely on billing agencies over the years to send out correct claims
on their behalf.
Question:
What should not be ignored and may require necessary policy measures to prevent avoidable recurrence?
Compliance program Control measures Risk areas Work flow
Answer:
Risk areas Monitoring risk areas will indicate vulnerable areas for fraud and abuse that need addressing.
Compliance officers can use the results to develop any necessary policies and procedures.
Question:
What law(s) does not require that nursing facilities conduct state or Federal FBI Bureau of Investigation
criminal background checks? False Claims law Federal law Federal and state laws State law
Answer:
Federal law Federal law does not require that nursing facilities conduct state or Federal Bureau of
Investigation FBI criminal background checks. State laws may, however. It is important to confirm both
sources for applicable laws.
Updated Study Material 2026
Question:
What should be readily accessible to all coding staff? Billing certification CPT™ codebook All essential
coding resources Nursing handbook
Answer:
All essential coding resources Coders must have up-to-date resources to code correctly and send out
correct claims.
Question:
What can providers review that will help them understand the compliance requirements of a clinical lab?
Laboratory Provider Handbook OIG's Clinical Lab Guidance OIG Developing an Effective Compliance
Program Physician Desk Reference
Answer:
OIG's Clinical Lab Guidance The OIG Clinical Lab Guidance provides pertinent information on effective
compliance and risk areas for laboratories.
Question:
Skilled Nursing Facilities (SNFs) are Medicare certified facilities that provide extended skilled nursing or
rehabilitative care. This care is reimbursed under which Medicare part(s)? A B C Part A and Part B
Answer:
Part A and Part B They SNFs are typically reimbursed under Part A for the costs of most items and
services, including room, board, and ancillary items and services. However, SNFs may also receive
payment under Medicare Part B.
Question:
How many states currently require nursing facilities to perform a background check of state records for
direct-access employees?
Answer:
Question:
10 35 43 50
Answer:
43 Out of 50 states, 43 have mandated background check requirements for individuals who have direct
contact with SNF patient and/or their personal possessions.
, Question:
How many states require nursing facilities to perform a FBI checks on employees? 3 5 10 27
Answer:
10 Out of 50 states, 10 states have mandated nursing homes perform an FBI background checks on
employees.
Question:
Which of the following should be reflected in a billing company's written policies and procedures?
Current Federal statutes only Current Federal and state statutes Current regional and Federal statutes
Current state statutes only
Answer:
Current Federal and state statutes With respect to claims, a billing company's written policies and
procedures should reflect and reinforce current federal and state statutes.
Question:
What third party plays a critical role in accurate billing and reimbursement? Billing agencies
Laboratories Nursing facilities Office of Inspector General (OIG)
Answer:
Billing agencies Providers have come to rely on billing agencies over the years to send out correct claims
on their behalf.
Question:
What should not be ignored and may require necessary policy measures to prevent avoidable recurrence?
Compliance program Control measures Risk areas Work flow
Answer:
Risk areas Monitoring risk areas will indicate vulnerable areas for fraud and abuse that need addressing.
Compliance officers can use the results to develop any necessary policies and procedures.
Question:
What law(s) does not require that nursing facilities conduct state or Federal FBI Bureau of Investigation
criminal background checks? False Claims law Federal law Federal and state laws State law
Answer:
Federal law Federal law does not require that nursing facilities conduct state or Federal Bureau of
Investigation FBI criminal background checks. State laws may, however. It is important to confirm both
sources for applicable laws.
