CPCO FINAL PAPER Questions and
Answers Verified Solutions Latest
Update
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.
Answers Verified Solutions Latest
Update
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.
