CPCO chapter 3 Exam 2025 Questions
and Answers
What should be readily accessible to all coding staff?
Billing certification
CPT™ codebook
All essential coding resources
Nursing handbook - ....ANSWER ...-All essential coding resources
Coders must have up-to-date resources to code correctly and send out correct claims.
What can providers review that will help them understand the compliance requirements
of a clinical lab?
Laboratory Provider Handbook
OIG's Clinical Lab Guidance
OIG Developing an Effective Compliance Program
Physician Desk Reference - ....ANSWER ...-OIG's Clinical Lab Guidance
The OIG Clinical Lab Guidance provides pertinent information on effective compliance
and risk areas for laboratories.
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 1
,Skilled Nursing Facilities (SNFs) are Medicare certified facilities that provide extended
skilled nursing or rehabilitative care. This care is reimbursed under which Medicare
part(s)?
A
B
C
Part A and Part B - ....ANSWER ...-Part A and Part B
They SNFs are typically reimbursed under Part A for the costs of most items and
services, including room, board, and ancillary items and services. However, SNFs may
also receive payment under Medicare Part B.
How many states currently require nursing facilities to perform a background check of
state records for direct-access employees?
10
35
43
50 - ....ANSWER ...-43
Out of 50 states, 43 have mandated background check requirements for individuals who
have direct contact with SNF patient and/or their personal possessions.
How many states require nursing facilities to perform a FBI checks on employees?
3
5
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 2
, 10
27 - ....ANSWER ...-10
Out of 50 states, 10 states have mandated nursing homes perform an FBI background
checks on employees.
Which of the following should be reflected in a billing company's written policies and
procedures?
Current Federal statutes only
Current Federal and state statutes
Current regional and Federal statutes
Current state statutes only - ....ANSWER ...-Current Federal and state statutes
With respect to claims, a billing company's written policies and procedures should
reflect and reinforce current federal and state statutes.
What third party plays a critical role in accurate billing and reimbursement?
Billing agencies
Laboratories
Nursing facilities
Office of Inspector General (OIG) - ....ANSWER ...-Billing agencies
Providers have come to rely on billing agencies over the years to send out correct claims
on their behalf.
What should not be ignored and may require necessary policy measures to prevent
avoidable recurrence?
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 3
and Answers
What should be readily accessible to all coding staff?
Billing certification
CPT™ codebook
All essential coding resources
Nursing handbook - ....ANSWER ...-All essential coding resources
Coders must have up-to-date resources to code correctly and send out correct claims.
What can providers review that will help them understand the compliance requirements
of a clinical lab?
Laboratory Provider Handbook
OIG's Clinical Lab Guidance
OIG Developing an Effective Compliance Program
Physician Desk Reference - ....ANSWER ...-OIG's Clinical Lab Guidance
The OIG Clinical Lab Guidance provides pertinent information on effective compliance
and risk areas for laboratories.
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 1
,Skilled Nursing Facilities (SNFs) are Medicare certified facilities that provide extended
skilled nursing or rehabilitative care. This care is reimbursed under which Medicare
part(s)?
A
B
C
Part A and Part B - ....ANSWER ...-Part A and Part B
They SNFs are typically reimbursed under Part A for the costs of most items and
services, including room, board, and ancillary items and services. However, SNFs may
also receive payment under Medicare Part B.
How many states currently require nursing facilities to perform a background check of
state records for direct-access employees?
10
35
43
50 - ....ANSWER ...-43
Out of 50 states, 43 have mandated background check requirements for individuals who
have direct contact with SNF patient and/or their personal possessions.
How many states require nursing facilities to perform a FBI checks on employees?
3
5
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 2
, 10
27 - ....ANSWER ...-10
Out of 50 states, 10 states have mandated nursing homes perform an FBI background
checks on employees.
Which of the following should be reflected in a billing company's written policies and
procedures?
Current Federal statutes only
Current Federal and state statutes
Current regional and Federal statutes
Current state statutes only - ....ANSWER ...-Current Federal and state statutes
With respect to claims, a billing company's written policies and procedures should
reflect and reinforce current federal and state statutes.
What third party plays a critical role in accurate billing and reimbursement?
Billing agencies
Laboratories
Nursing facilities
Office of Inspector General (OIG) - ....ANSWER ...-Billing agencies
Providers have come to rely on billing agencies over the years to send out correct claims
on their behalf.
What should not be ignored and may require necessary policy measures to prevent
avoidable recurrence?
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 3
