CPCO chapter 1 Exam 2025 Questions
and Answers
What office is responsible for the HIPAA privacy rule - ....ANSWER ...-Office of
civil rights
What does LEP stand for? - ....ANSWER ...-LEP
Dr. Smith had some billing issues at his medical office. He agreed to work with the OIG
to correct the issues. What does the term "CCA" refer to so that you (the Compliance
Officer) can explain to Dr. Smith? - ....ANSWER ...-Certification of Compliance
Agreement in which providers agree to continue to operate their existing compliance
program.
In addition to hospitals, what other type of facility did the OIG provide supplemental
compliance program guidance for? - ....ANSWER ...-Supplemental compliance
program guidance was published for nursing facilities in September 2008.
What is required for a compliance program to be effective?
The compliance program needs to be reviewed daily for any compliance updates.
Regularly review and update the compliance program.
The compliance program must be reviewed by healthcare lawyers.
The compliance program needs to be reviewed weekly for any compliance updates. -
....ANSWER ...-Regularly review and update the compliance program.
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 1
,Which entity below could NOT bill for medically unnecessary services?
Answers:
Hospitals
Physicians
Ancillary providers
Patients - ....ANSWER ...-Patients
Which department is the largest inspector general's office in the federal government?
Answers:
HHS Office of Inspector General
Office of Civil Rights
Department of Justice
Centers for Medicare & Medicaid Services - ....ANSWER ...-HHS Office of
Inspector General
What term would be used for actions that, either directly or indirectly, results in
unnecessary costs to the Medicare program?
Fraud
Mistake
Waste
Abuse - ....ANSWER ...-Abuse
How many elements are required to have a successful compliance program?
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 2
, Five
Seven
Eight
Nine - ....ANSWER ...-The OIG guidance documents utilize the seven elements of
the Federal Sentencing Guidelines as the basis of an effective compliance program.
Sue works for ABC Family Physicians. The providers at this office ask her to research the
department that helps to protect patients from unfair treatment or discrimination? What
department or agency would that be?
Employment Equality Agency
Office for Civil Rights
Department of Justice
Office of Inspector General - ....ANSWER ...-Office for Civil Rights
Which federal government departments is the OIG NOT responsible for overseeing?
Centers for Medicare & Medicaid Services
Centers for Disease Control and Prevention
U.S. Food & Drug Administration
Drug Enforcement Agency - ....ANSWER ...-Drug Enforcement Agency. The OIG
is responsible for overseeing the Centers for Medicare & Medicaid Services (CMS), and
programs under other HHS agencies, including the Centers for Disease Control and
Prevention (CDC), National Institutes of Health (NIH), and the U.S. Food and Drug
Administration (FDA). DEA is overseen by DOJ.
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 3
and Answers
What office is responsible for the HIPAA privacy rule - ....ANSWER ...-Office of
civil rights
What does LEP stand for? - ....ANSWER ...-LEP
Dr. Smith had some billing issues at his medical office. He agreed to work with the OIG
to correct the issues. What does the term "CCA" refer to so that you (the Compliance
Officer) can explain to Dr. Smith? - ....ANSWER ...-Certification of Compliance
Agreement in which providers agree to continue to operate their existing compliance
program.
In addition to hospitals, what other type of facility did the OIG provide supplemental
compliance program guidance for? - ....ANSWER ...-Supplemental compliance
program guidance was published for nursing facilities in September 2008.
What is required for a compliance program to be effective?
The compliance program needs to be reviewed daily for any compliance updates.
Regularly review and update the compliance program.
The compliance program must be reviewed by healthcare lawyers.
The compliance program needs to be reviewed weekly for any compliance updates. -
....ANSWER ...-Regularly review and update the compliance program.
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 1
,Which entity below could NOT bill for medically unnecessary services?
Answers:
Hospitals
Physicians
Ancillary providers
Patients - ....ANSWER ...-Patients
Which department is the largest inspector general's office in the federal government?
Answers:
HHS Office of Inspector General
Office of Civil Rights
Department of Justice
Centers for Medicare & Medicaid Services - ....ANSWER ...-HHS Office of
Inspector General
What term would be used for actions that, either directly or indirectly, results in
unnecessary costs to the Medicare program?
Fraud
Mistake
Waste
Abuse - ....ANSWER ...-Abuse
How many elements are required to have a successful compliance program?
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 2
, Five
Seven
Eight
Nine - ....ANSWER ...-The OIG guidance documents utilize the seven elements of
the Federal Sentencing Guidelines as the basis of an effective compliance program.
Sue works for ABC Family Physicians. The providers at this office ask her to research the
department that helps to protect patients from unfair treatment or discrimination? What
department or agency would that be?
Employment Equality Agency
Office for Civil Rights
Department of Justice
Office of Inspector General - ....ANSWER ...-Office for Civil Rights
Which federal government departments is the OIG NOT responsible for overseeing?
Centers for Medicare & Medicaid Services
Centers for Disease Control and Prevention
U.S. Food & Drug Administration
Drug Enforcement Agency - ....ANSWER ...-Drug Enforcement Agency. The OIG
is responsible for overseeing the Centers for Medicare & Medicaid Services (CMS), and
programs under other HHS agencies, including the Centers for Disease Control and
Prevention (CDC), National Institutes of Health (NIH), and the U.S. Food and Drug
Administration (FDA). DEA is overseen by DOJ.
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 3
