CPCO STUDY - Chapter 2 Exam
Questions 2025 with Answers
One of the most important elements of an effective compliance program is to have a
compliance officer or committee who is__________. - ....ANSWER ...-empowered
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
Joan, as an employee of a healthcare organization, has _________to report erroneous
conduct, without repercussions, so that it may be corrected immediately -
....ANSWER ...-duty
person who exposes misconduct, alleged dishonest or illegal activity occurring in an
organization is called a______________? - ....ANSWER ...-relator
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
When physicians (or their staff) make billing mistakes and errors the most important
thing to do is _________? - ....ANSWER ...-Send a refund
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
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 1
, will? - ....ANSWER ...-Post notices of up-to-date compliance information on the
employee bulletin board
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
Tim, the Compliance Officer for XYZ Community Hospital, should report to whom? -
....ANSWER ...-CEO or Board
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
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
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
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
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 2
Questions 2025 with Answers
One of the most important elements of an effective compliance program is to have a
compliance officer or committee who is__________. - ....ANSWER ...-empowered
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
Joan, as an employee of a healthcare organization, has _________to report erroneous
conduct, without repercussions, so that it may be corrected immediately -
....ANSWER ...-duty
person who exposes misconduct, alleged dishonest or illegal activity occurring in an
organization is called a______________? - ....ANSWER ...-relator
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
When physicians (or their staff) make billing mistakes and errors the most important
thing to do is _________? - ....ANSWER ...-Send a refund
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
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 1
, will? - ....ANSWER ...-Post notices of up-to-date compliance information on the
employee bulletin board
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
Tim, the Compliance Officer for XYZ Community Hospital, should report to whom? -
....ANSWER ...-CEO or Board
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
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
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
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
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 2
