CPCO CH 2 EXAM QUESTIONS WITH
CORRECT ANSWERS
To establish patterns or trends of no-compliance. - ANSWER-Why should hotline
allegations be tracked?
The OIG has described seven basic components of an effective compliance program for
a small physician practice. - ANSWER-How many basic components of an effective
compliance program is listed for a small physician practice?
Calling the hotline to report an alleged violation. - ANSWER-What does the term
"anonymous reporting" refer to?
send a refund - ANSWER-When physicians (or their staff) make billing mistakes and
errors that result in overpayment, the most important thing to do is _______.
Mistake in billing - ANSWER-Which of the following is NOT a level of non-compliance?
As laws and regulations change and at least annually, and be "a work in progress." -
ANSWER-How often should the Compliance Officer update the Compliance
Program/Compliance Plan?
designating a liaison from the practice to communicate with the outside compliance
officer and that the practice has a business service agreement with the outside
compliance officer. - ANSWER-If the practice uses an outsourced compliance officer,
the OIG recommends_____.
unique. - ANSWER-The OIG recommends that each compliance program should
be______________.
The provider does not complete documentation timely. - ANSWER-A Compliance
Corrective Action (CCA) Plan might deal with which item below?
The practice should analyze the situation to determine whether a flaw in the compliance
program failed to anticipate the detected problem, or whether the compliance program's
procedure failed to prevent the violation. - ANSWER-What should happen if a
compliance problem is detected?
The service was NOT necessary and therefore not covered. - ANSWER-What might
one reason be for Medicare not to pay for a service provided to a Medicare beneficiary?
improper inducement - ANSWER-An____________________ is when an organization
offers another organization incentive for refferals such as cash, non-cash gifts, providing
services for the benefit of the referral source or making reciprocal referrals.
CORRECT ANSWERS
To establish patterns or trends of no-compliance. - ANSWER-Why should hotline
allegations be tracked?
The OIG has described seven basic components of an effective compliance program for
a small physician practice. - ANSWER-How many basic components of an effective
compliance program is listed for a small physician practice?
Calling the hotline to report an alleged violation. - ANSWER-What does the term
"anonymous reporting" refer to?
send a refund - ANSWER-When physicians (or their staff) make billing mistakes and
errors that result in overpayment, the most important thing to do is _______.
Mistake in billing - ANSWER-Which of the following is NOT a level of non-compliance?
As laws and regulations change and at least annually, and be "a work in progress." -
ANSWER-How often should the Compliance Officer update the Compliance
Program/Compliance Plan?
designating a liaison from the practice to communicate with the outside compliance
officer and that the practice has a business service agreement with the outside
compliance officer. - ANSWER-If the practice uses an outsourced compliance officer,
the OIG recommends_____.
unique. - ANSWER-The OIG recommends that each compliance program should
be______________.
The provider does not complete documentation timely. - ANSWER-A Compliance
Corrective Action (CCA) Plan might deal with which item below?
The practice should analyze the situation to determine whether a flaw in the compliance
program failed to anticipate the detected problem, or whether the compliance program's
procedure failed to prevent the violation. - ANSWER-What should happen if a
compliance problem is detected?
The service was NOT necessary and therefore not covered. - ANSWER-What might
one reason be for Medicare not to pay for a service provided to a Medicare beneficiary?
improper inducement - ANSWER-An____________________ is when an organization
offers another organization incentive for refferals such as cash, non-cash gifts, providing
services for the benefit of the referral source or making reciprocal referrals.
