CPCO chapter 3 UPDATED ACTUAL Exam
Questions and CORRECT Answers
What should be readily accessible to all coding staff?
Billing certification
CPT™ codebook
All essential coding resources
Nursing handbook - CORRECT 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 - CORRECT ANSWER - OIG's Clinical Lab Guidance
The OIG Clinical Lab Guidance provides pertinent information on effective compliance and risk
areas for laboratories.
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 - CORRECT 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 - CORRECT 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
10
27 - CORRECT 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 - CORRECT 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
Questions and CORRECT Answers
What should be readily accessible to all coding staff?
Billing certification
CPT™ codebook
All essential coding resources
Nursing handbook - CORRECT 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 - CORRECT ANSWER - OIG's Clinical Lab Guidance
The OIG Clinical Lab Guidance provides pertinent information on effective compliance and risk
areas for laboratories.
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 - CORRECT 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 - CORRECT 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
10
27 - CORRECT 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 - CORRECT 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
