1|P a g e
CPCO CERTIFICATION EXAM/ PRACTICE EXAM AND
STUDY GUIDE NEWEST 2025 TEST BANK| COMPLETE
650 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) GRADED
A+| CPCO EXAM PREP (BRAND NEW!!)
For larger physician practices, how frequently does the OIG recommend
reporting compliance activities to the Board of Directors and CEO?
A. Monthly
B. Quarterly
C. Annually
D. Regularly - Correct Answer - D. Regularly
A compliance program's plan for communication should include a
provision for non-retaliation for reporting fraudulent conduct. Which
method below helps ensure that an employee would be free from
retribution?
A. A clearly defined chain of command for reporting potentially
fraudulent conduct
B. Guaranteed anonymity
C. Well-publicized disciplinary actions for retaliation
D. A policy that encourages reporting directly to the OIG - Correct
Answer - C. Well-publicized disciplinary actions for retaliation
What does the HHS OIG suggest as possible warning signs that non-
compliance may exist?
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A. Significant change in the number or type of claim rejections.
B. Getting carrier newsletters pertaining to the types of service that your
practice bills.
C. Consistent use of certain codes.
D. Receipt of carrier requests for documentation. - Correct Answer - A.
Significant change in the number or type of claim rejections.
A safeguard the security officer puts in place is that all employees were
given name tags to wear while on duty. Policies were put in place to
restrict access to employee areas. Policies were also written to establish
the proper use of computer workstations for business and antivirus
software was added.
What type of safeguard does this action describe?
A. Technical safeguards
B. Lifesaving safeguards
C. Physical safeguards
D. Administrative safeguards - Correct Answer - A. Technical safeguards
Section 101 of the Medicare Prescription Drug, Improvement, and
Modernization Act of 2003 (MMA) - Pub. L. 108-173, December 8,
2003 - authorized an exception to the physician self-referral prohibition
for certain arrangements in which the physician can receive necessary
non-monetary remuneration. What is this exception related to?
A. Outpatient services
B. E-Prescribing
C. Physician investments in specialty hospitals
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D. None of the above; there are no exceptions in the Stark law. - Correct
Answer - B. E-Prescribing
Section 1877 of the Social Security Act (the Act) (42 U.S.C. 1395nn), is
also known as the physician self-referral law and commonly referred to
as the "Stark Law". The Stark Law applies to which of the following
individuals or entities?
A. Patients and their families
B. Physicians and hospitals
C. Federal health care programs like Medicare
D. Both B and C - Correct Answer - D. Both B and C
The Patient Protection and Affordable Care Act (PPACA) signed into
law on March 23, 2010 mandated that all overpayments be returned
within this amount of time post-identification?
A. 15 days
B. 45 days
C. 60 days
D. 75 days - Correct Answer - C. 60 days
An office manager has misplaced his laptop. The hard drive on the
laptop is not encrypted. Which of the following data stored on the laptop
would be considered a HIPAA breach if someone gains access to the
laptop?
A. Employee immunization records
B. Medicaid Reports listing patient names and dates of birth.
pg. 3
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C. Physician schedules for the operating room listing the physician's
name and procedure done
D. Health records of students - Correct Answer - B. Medicaid Reports
listing patient names and dates of birth.
Which entity provides benefit integrity investigations based on billing
abnormalities identified by data analysis or allegations of fraud and
abuse, as well as conducts reviews that will allow them to compare
billing of Medicare claims to Medicaid claims known as the "Medi-
Medi" program that helps to identify fraudulent activity between the two
programs?
A. Medi-Medi Audit Contractors (MACs)
B. Recovery Audit Contractors (RACs)
C. Medicaid Integrity Contractors (MICs)
D. Zone Program Integrity Contractors (ZPICs) - Correct Answer - D.
Zone Program Integrity Contractors (ZPICs)
When agreeing to a global civil fraud settlement, what is the most
popular reason why a provider agrees to enter into a Corporate Integrity
Agreement?
A. To avoid exclusion from participation in Federal health care programs
B. To obtain a Civil Monetary Penalty reduction
C. To obtain a fine reduction
D. To avoid incarceration - Correct Answer - A. To avoid exclusion from
participation in Federal health care programs
pg. 4
CPCO CERTIFICATION EXAM/ PRACTICE EXAM AND
STUDY GUIDE NEWEST 2025 TEST BANK| COMPLETE
650 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) GRADED
A+| CPCO EXAM PREP (BRAND NEW!!)
For larger physician practices, how frequently does the OIG recommend
reporting compliance activities to the Board of Directors and CEO?
A. Monthly
B. Quarterly
C. Annually
D. Regularly - Correct Answer - D. Regularly
A compliance program's plan for communication should include a
provision for non-retaliation for reporting fraudulent conduct. Which
method below helps ensure that an employee would be free from
retribution?
A. A clearly defined chain of command for reporting potentially
fraudulent conduct
B. Guaranteed anonymity
C. Well-publicized disciplinary actions for retaliation
D. A policy that encourages reporting directly to the OIG - Correct
Answer - C. Well-publicized disciplinary actions for retaliation
What does the HHS OIG suggest as possible warning signs that non-
compliance may exist?
pg. 1
,2|P a g e
A. Significant change in the number or type of claim rejections.
B. Getting carrier newsletters pertaining to the types of service that your
practice bills.
C. Consistent use of certain codes.
D. Receipt of carrier requests for documentation. - Correct Answer - A.
Significant change in the number or type of claim rejections.
A safeguard the security officer puts in place is that all employees were
given name tags to wear while on duty. Policies were put in place to
restrict access to employee areas. Policies were also written to establish
the proper use of computer workstations for business and antivirus
software was added.
What type of safeguard does this action describe?
A. Technical safeguards
B. Lifesaving safeguards
C. Physical safeguards
D. Administrative safeguards - Correct Answer - A. Technical safeguards
Section 101 of the Medicare Prescription Drug, Improvement, and
Modernization Act of 2003 (MMA) - Pub. L. 108-173, December 8,
2003 - authorized an exception to the physician self-referral prohibition
for certain arrangements in which the physician can receive necessary
non-monetary remuneration. What is this exception related to?
A. Outpatient services
B. E-Prescribing
C. Physician investments in specialty hospitals
pg. 2
,3|P a g e
D. None of the above; there are no exceptions in the Stark law. - Correct
Answer - B. E-Prescribing
Section 1877 of the Social Security Act (the Act) (42 U.S.C. 1395nn), is
also known as the physician self-referral law and commonly referred to
as the "Stark Law". The Stark Law applies to which of the following
individuals or entities?
A. Patients and their families
B. Physicians and hospitals
C. Federal health care programs like Medicare
D. Both B and C - Correct Answer - D. Both B and C
The Patient Protection and Affordable Care Act (PPACA) signed into
law on March 23, 2010 mandated that all overpayments be returned
within this amount of time post-identification?
A. 15 days
B. 45 days
C. 60 days
D. 75 days - Correct Answer - C. 60 days
An office manager has misplaced his laptop. The hard drive on the
laptop is not encrypted. Which of the following data stored on the laptop
would be considered a HIPAA breach if someone gains access to the
laptop?
A. Employee immunization records
B. Medicaid Reports listing patient names and dates of birth.
pg. 3
, 4|P a g e
C. Physician schedules for the operating room listing the physician's
name and procedure done
D. Health records of students - Correct Answer - B. Medicaid Reports
listing patient names and dates of birth.
Which entity provides benefit integrity investigations based on billing
abnormalities identified by data analysis or allegations of fraud and
abuse, as well as conducts reviews that will allow them to compare
billing of Medicare claims to Medicaid claims known as the "Medi-
Medi" program that helps to identify fraudulent activity between the two
programs?
A. Medi-Medi Audit Contractors (MACs)
B. Recovery Audit Contractors (RACs)
C. Medicaid Integrity Contractors (MICs)
D. Zone Program Integrity Contractors (ZPICs) - Correct Answer - D.
Zone Program Integrity Contractors (ZPICs)
When agreeing to a global civil fraud settlement, what is the most
popular reason why a provider agrees to enter into a Corporate Integrity
Agreement?
A. To avoid exclusion from participation in Federal health care programs
B. To obtain a Civil Monetary Penalty reduction
C. To obtain a fine reduction
D. To avoid incarceration - Correct Answer - A. To avoid exclusion from
participation in Federal health care programs
pg. 4
