CPCO chapter 1 UPDATED ACTUAL
Exam Questions and CORRECT Answers
What office is responsible for the HIPAA privacy rule - CORRECT ANSWER - Office of
civil rights
What does LEP stand for? - CORRECT 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? - CORRECT 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? - CORRECT 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. - CORRECT
ANSWER - Regularly review and update the compliance program.
Which entity below could NOT bill for medically unnecessary services?
Answers:
Hospitals
Physicians
Ancillary providers
Patients - CORRECT 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 - CORRECT 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 - CORRECT ANSWER - Abuse
How many elements are required to have a successful compliance program?
Five
Seven
Eight
Nine - CORRECT 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 - CORRECT ANSWER - Office for Civil Rights
Exam Questions and CORRECT Answers
What office is responsible for the HIPAA privacy rule - CORRECT ANSWER - Office of
civil rights
What does LEP stand for? - CORRECT 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? - CORRECT 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? - CORRECT 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. - CORRECT
ANSWER - Regularly review and update the compliance program.
Which entity below could NOT bill for medically unnecessary services?
Answers:
Hospitals
Physicians
Ancillary providers
Patients - CORRECT 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 - CORRECT 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 - CORRECT ANSWER - Abuse
How many elements are required to have a successful compliance program?
Five
Seven
Eight
Nine - CORRECT 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 - CORRECT ANSWER - Office for Civil Rights
