CPCO TEST Questions and Answers
Verified Solutions Latest Update
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 _________?
Answer:
The Code of conduct
Question:
How often should the Tim, Compliance Officer for XYZ Community Hospital update the
compliance program and plan?
Answer:
As laws and regulations change; and at least annually
Verified Solutions Latest Update
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 _________?
Answer:
The Code of conduct
Question:
How often should the Tim, Compliance Officer for XYZ Community Hospital update the
compliance program and plan?
Answer:
As laws and regulations change; and at least annually
