CPCO PREP EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
When conducting a risk assessment, one of the most important and key sources of
information that a compliance office should utilize is ___________. - ANSWER-Office of
Inspector General's Annual Audit Plan
One of the most important elements of an effective compliance program is to have a
compliance officer or committee who is _________. - ANSWER-Empowered.
The mission statement of the healthcare organization and a statement of why they are
in business are also know as ___________? - ANSWER-The code of conduct.
The compliance officer will report directly to - ANSWER-The managing physicians and
board
How many components are required by the OIG to have an effective Compliance
Program? - ANSWER-7
What will show a third party's good faith toward remediation? - ANSWER-Compliance
Program
What is the Federal agency that provides compliance program guidance to providers
and covered entities? - ANSWER-Office of Inspector General
A clinical laboratory gets all of their Medicare patients to sign a blank ABN in case
Medicare does not pay for a service. This is part of the clinic's written policy, therefore is
in compliance Y/N - ANSWER-No, laboratory may never ask a patient to sign a blank
ABN
Can the government take back monies from a nursing facility for failure of a patient's
care? - ANSWER-Yes, there is a direct link to quality of care and billing for services.
Clinical Laboratories should charge physicians a price for ordered tests at
____________ - ANSWER-Fair Market Value
Every third party health care company should designate someone to serve as the focal
point for compliance activities. This position is called a ___________. - ANSWER-
Compliance Coordinator.
What can result in imprisonment and penalties for providers and covered entities? -
ANSWER-Medical fraud
,What two laws relate primarily to the relationships between referral sources, such as
physicians and hospitals? - ANSWER-Anti-kickback and Stark Laws.
If physician recruitment arrangements are not properly structured, it can result in
________________ - ANSWER-EMTALA violations
Penalties under the FCA include how much - ANSWER-Treble damages, plus a penalty
of $5500 to $11,000 for each false claim filed.
What should you do when you find out one of your employees has been excluded from
government programs? - ANSWER-Suspend the employee, request documentation,
and investigate the matter.
Some joint ventures may violate the Medicare and Medicaid ______________. -
ANSWER-Anti-kickback statute
The Office of Civil Rights (OCR) has enforcement power for violations occurring as a
result of willful neglect. OCR can now impose civil monetary penalties of up to how
much per HIPAA privacy regulations violation. - ANSWER-$50,000
Physicians sometimes own other health-related businesses, such as physical therapy
facilities, CME or home health companies, diagnostic imaging centers, or laboratories.
Because these businesses provide designated health services, what may be triggered?
- ANSWER-Stark
Which law increases the severity of penalties for violations involving organized crime? -
ANSWER-RICO Act
Which law provides for a civil monetary penalty (up to $15,000 per service) and
exclusion from government programs in any case where a person submits an improper
claim, which was know to have been, or should have been know to have been, provided
through a prohibited referral, and has not refunded the payment? - ANSWER-Stark
Which of these responsibilities is not one of a compliance officer? - ANSWER-Create all
policies and procedures
What are key responsibilities of a compliance officer? - ANSWER-Ensure internal
controls are capable of preventing and detecting significant instances or patterns of
illegal, unethical or improper conduct.
Monitor the performance of the practice's compliance program on an ongoing basis and
take steps to improve effectiveness.
Identify and assess areas of compliance risk.
What year did HITECH Act get implemented? - ANSWER-2009
,What policy is important in dealing with employee concerns? - ANSWER-Non-
Retaliation policy
When can a covered entity disclose PHI without a patient's consent? - ANSWER-When
providing in cases of suspected abuse.
What covered entity as the most HIPAA breaches? - ANSWER-Business Associates
How soon are practices or medical organizations required to process record requests? -
ANSWER-Within 30 days
What does HITECH stand for? - ANSWER-Health Information Technology for Economic
and Clinical Health
What safeguard is defined as measures to protect electronic systems? - ANSWER-
Physical safeguards
What does the term "Disclosure" mean? - ANSWER-The release or transfer of
information to an outside entity
Alerts for Physician's office labs from Medicare on expired certificate will cause your
Medicare carrier to - ANSWER-Deny claims
If a person presents to the emergency department and collapses outside the ER doors,
is EMTLA evoked? - ANSWER-Yes, the 250 yard zone applies in this case.
CLIA is funded by whom? - ANSWER-Users
A person having an asthma attach presented to the physician office on the hospital
campus. The office did not have a provider in the office and the patient had to go to the
Emergency department around the corner for treatment. Is the physician office in
violation of EMTALA? - ANSWER-No, EMTALA does not include physician practices.
Requirements for transferring an unstable patient include all but ____________ -
ANSWER-making sure the patient has either Medicare or Medicaid
Under EMTALA, the following requirements must be met when transferring an unstable
patient: - ANSWER-Consent of receiving hospital
Patient's consent must be documented
Physician must attest the medical benefits outweigh the risk of the transfer in writing
, To enroll in the CLIA program, laboratories must first register by completing an
application, pay fees, be surveyed, and if applicable become what? - ANSWER-
Certified
Under EMTALA a treating physician can consult other physicians in what ways that are
not prohibited? - ANSWER-Telephone
Video Conferencing
Internet
Waived and PPM laboratories may apply directly for their certificate as they are not
subject to _________? - ANSWER-Routine inspections
Which one of the following is not considered an engineering control? - ANSWER-Safe
medical devices
What foreign language does OSHA mandate the OSHA poster be posted with at each
medical facility? - ANSWER-No requirement but also available in Spanish
What could constitute an occupational exposure? - ANSWER-A needle stick
A cut with a sharp object
A percutaneous injury
Why must an employer implement an Exposure Control Plan? - ANSWER-To ensure
proper employee protection measures
Are compliance officers required to know all OSHA laws? - ANSWER-No, but they
should know where to find the information
What are the requirements for containers used to store waste? - ANSWER-Container
must be color-coded
Why did OSHA publish a Blood Borne Pathogen standard? - ANSWER-Because of
significant exposures to viruses and other microorganisms
What employees should get Hep B vaccines? - ANSWER-Any employee exposed to
blood borne pathogens
If the main entrance cannot be made handicap accessible, then _______________ -
ANSWER-People should be detoured to another entrance.
COMPLETE SOLUTIONS
When conducting a risk assessment, one of the most important and key sources of
information that a compliance office should utilize is ___________. - ANSWER-Office of
Inspector General's Annual Audit Plan
One of the most important elements of an effective compliance program is to have a
compliance officer or committee who is _________. - ANSWER-Empowered.
The mission statement of the healthcare organization and a statement of why they are
in business are also know as ___________? - ANSWER-The code of conduct.
The compliance officer will report directly to - ANSWER-The managing physicians and
board
How many components are required by the OIG to have an effective Compliance
Program? - ANSWER-7
What will show a third party's good faith toward remediation? - ANSWER-Compliance
Program
What is the Federal agency that provides compliance program guidance to providers
and covered entities? - ANSWER-Office of Inspector General
A clinical laboratory gets all of their Medicare patients to sign a blank ABN in case
Medicare does not pay for a service. This is part of the clinic's written policy, therefore is
in compliance Y/N - ANSWER-No, laboratory may never ask a patient to sign a blank
ABN
Can the government take back monies from a nursing facility for failure of a patient's
care? - ANSWER-Yes, there is a direct link to quality of care and billing for services.
Clinical Laboratories should charge physicians a price for ordered tests at
____________ - ANSWER-Fair Market Value
Every third party health care company should designate someone to serve as the focal
point for compliance activities. This position is called a ___________. - ANSWER-
Compliance Coordinator.
What can result in imprisonment and penalties for providers and covered entities? -
ANSWER-Medical fraud
,What two laws relate primarily to the relationships between referral sources, such as
physicians and hospitals? - ANSWER-Anti-kickback and Stark Laws.
If physician recruitment arrangements are not properly structured, it can result in
________________ - ANSWER-EMTALA violations
Penalties under the FCA include how much - ANSWER-Treble damages, plus a penalty
of $5500 to $11,000 for each false claim filed.
What should you do when you find out one of your employees has been excluded from
government programs? - ANSWER-Suspend the employee, request documentation,
and investigate the matter.
Some joint ventures may violate the Medicare and Medicaid ______________. -
ANSWER-Anti-kickback statute
The Office of Civil Rights (OCR) has enforcement power for violations occurring as a
result of willful neglect. OCR can now impose civil monetary penalties of up to how
much per HIPAA privacy regulations violation. - ANSWER-$50,000
Physicians sometimes own other health-related businesses, such as physical therapy
facilities, CME or home health companies, diagnostic imaging centers, or laboratories.
Because these businesses provide designated health services, what may be triggered?
- ANSWER-Stark
Which law increases the severity of penalties for violations involving organized crime? -
ANSWER-RICO Act
Which law provides for a civil monetary penalty (up to $15,000 per service) and
exclusion from government programs in any case where a person submits an improper
claim, which was know to have been, or should have been know to have been, provided
through a prohibited referral, and has not refunded the payment? - ANSWER-Stark
Which of these responsibilities is not one of a compliance officer? - ANSWER-Create all
policies and procedures
What are key responsibilities of a compliance officer? - ANSWER-Ensure internal
controls are capable of preventing and detecting significant instances or patterns of
illegal, unethical or improper conduct.
Monitor the performance of the practice's compliance program on an ongoing basis and
take steps to improve effectiveness.
Identify and assess areas of compliance risk.
What year did HITECH Act get implemented? - ANSWER-2009
,What policy is important in dealing with employee concerns? - ANSWER-Non-
Retaliation policy
When can a covered entity disclose PHI without a patient's consent? - ANSWER-When
providing in cases of suspected abuse.
What covered entity as the most HIPAA breaches? - ANSWER-Business Associates
How soon are practices or medical organizations required to process record requests? -
ANSWER-Within 30 days
What does HITECH stand for? - ANSWER-Health Information Technology for Economic
and Clinical Health
What safeguard is defined as measures to protect electronic systems? - ANSWER-
Physical safeguards
What does the term "Disclosure" mean? - ANSWER-The release or transfer of
information to an outside entity
Alerts for Physician's office labs from Medicare on expired certificate will cause your
Medicare carrier to - ANSWER-Deny claims
If a person presents to the emergency department and collapses outside the ER doors,
is EMTLA evoked? - ANSWER-Yes, the 250 yard zone applies in this case.
CLIA is funded by whom? - ANSWER-Users
A person having an asthma attach presented to the physician office on the hospital
campus. The office did not have a provider in the office and the patient had to go to the
Emergency department around the corner for treatment. Is the physician office in
violation of EMTALA? - ANSWER-No, EMTALA does not include physician practices.
Requirements for transferring an unstable patient include all but ____________ -
ANSWER-making sure the patient has either Medicare or Medicaid
Under EMTALA, the following requirements must be met when transferring an unstable
patient: - ANSWER-Consent of receiving hospital
Patient's consent must be documented
Physician must attest the medical benefits outweigh the risk of the transfer in writing
, To enroll in the CLIA program, laboratories must first register by completing an
application, pay fees, be surveyed, and if applicable become what? - ANSWER-
Certified
Under EMTALA a treating physician can consult other physicians in what ways that are
not prohibited? - ANSWER-Telephone
Video Conferencing
Internet
Waived and PPM laboratories may apply directly for their certificate as they are not
subject to _________? - ANSWER-Routine inspections
Which one of the following is not considered an engineering control? - ANSWER-Safe
medical devices
What foreign language does OSHA mandate the OSHA poster be posted with at each
medical facility? - ANSWER-No requirement but also available in Spanish
What could constitute an occupational exposure? - ANSWER-A needle stick
A cut with a sharp object
A percutaneous injury
Why must an employer implement an Exposure Control Plan? - ANSWER-To ensure
proper employee protection measures
Are compliance officers required to know all OSHA laws? - ANSWER-No, but they
should know where to find the information
What are the requirements for containers used to store waste? - ANSWER-Container
must be color-coded
Why did OSHA publish a Blood Borne Pathogen standard? - ANSWER-Because of
significant exposures to viruses and other microorganisms
What employees should get Hep B vaccines? - ANSWER-Any employee exposed to
blood borne pathogens
If the main entrance cannot be made handicap accessible, then _______________ -
ANSWER-People should be detoured to another entrance.
