CPCO CHAPTER 3 EXAM QUESTIONS AND CORRECT
ANSWERS
What must be readily available to everyone who does coding?
Billing certification
CPT™ codebook
All the coding resources needed
Nursing handbook - ANSWER All the coding resources needed
The coders require updated resources so that they can code suitably and
dispatch correct claims.
What may providers read so that they will be informed about a clinical
laboratory's compliance requirements?
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 regarding
effective compliance and regions of risk for labs.
Skilled Nursing Facilities (SNFs) are facilities certified by Medicare that
provide long-term skilled nursing or rehabilitative care. Such 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 usually reimbursed under Part A for the costs of the bulk of
items and services, including room, board, and ancillary items and services.
SNFs, though, may be paid under Medicare Part B.
, How many states currently require nursing facilities to perform a background
check of state records on direct-access employees?
10
35
43
50 - ANSWER 43
Out of 50 states, 43 states have established background check requirements on
individuals who are in direct contact with SNF patient and/or personal items.
How many states require nursing homes to perform a FBI checks on
employees?
3
5
10
27 - ANSWER 10
Out of 50 states, 10 states have required nursing homes to perform an FBI
background checks on employees.
Which of the following are required to be placed in a billing company's written
policy and procedures?
Current Federal only laws
Current Federal and state laws
Current regional and Federal laws
Current state laws only - ANSWER Current Federal and state laws
With respect to claims, written procedures and policies of a billing company
should outline and substantiate current federal and state laws.
Which third party plays a crucial role in proper billing and reimbursement?
Billing agencies
Laboratories
Nursing facilities
Office of Inspector General (OIG) - ANSWER Billing agencies
Providers have increasingly relied on billing firms over the years to submit
correct claims on their behalf.
ANSWERS
What must be readily available to everyone who does coding?
Billing certification
CPT™ codebook
All the coding resources needed
Nursing handbook - ANSWER All the coding resources needed
The coders require updated resources so that they can code suitably and
dispatch correct claims.
What may providers read so that they will be informed about a clinical
laboratory's compliance requirements?
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 regarding
effective compliance and regions of risk for labs.
Skilled Nursing Facilities (SNFs) are facilities certified by Medicare that
provide long-term skilled nursing or rehabilitative care. Such 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 usually reimbursed under Part A for the costs of the bulk of
items and services, including room, board, and ancillary items and services.
SNFs, though, may be paid under Medicare Part B.
, How many states currently require nursing facilities to perform a background
check of state records on direct-access employees?
10
35
43
50 - ANSWER 43
Out of 50 states, 43 states have established background check requirements on
individuals who are in direct contact with SNF patient and/or personal items.
How many states require nursing homes to perform a FBI checks on
employees?
3
5
10
27 - ANSWER 10
Out of 50 states, 10 states have required nursing homes to perform an FBI
background checks on employees.
Which of the following are required to be placed in a billing company's written
policy and procedures?
Current Federal only laws
Current Federal and state laws
Current regional and Federal laws
Current state laws only - ANSWER Current Federal and state laws
With respect to claims, written procedures and policies of a billing company
should outline and substantiate current federal and state laws.
Which third party plays a crucial role in proper billing and reimbursement?
Billing agencies
Laboratories
Nursing facilities
Office of Inspector General (OIG) - ANSWER Billing agencies
Providers have increasingly relied on billing firms over the years to submit
correct claims on their behalf.
