CPCO chapter 4 Exam | Verified Exam Questions and Answers | Latest
Updated Study Material 2026
Question:
If a group pays a hospital monthly rent for office space that is one-half the going rate or fair market
value, this is a violation of which regulation? Stark Law FCA CMS guidelines Anti-Kickback Statute
Answer:
Anti-Kickback Statute Examples of anti-kickback statute violations:- A hospital providing rental rates
below fair market value to a physician who refers business to the hospital- Routine waiver of copayments
or deductibles for patients under Medicare Part B- A drug or equipment supplier providing free benefits
to a provider who utilizes their product- A physician who is paid exorbitantly for speaking engagements
by a company to whom the provider refers business
Question:
The RICO Act is a law that increases the severity of penalties for violations of what? HIPAA Human
resources Organized crime Improper claim submissions
Answer:
Organized crime The RICO Act is a law that increases the severity of penalties for violations involving
organized crime.
Question:
Deficit Reduction Act (DRA) requires that providers who have more than $5 million either received or
paid to the reimbursement from state Medicaid programs inform employees of their ability to ? Bring a
whistleblower action File paper claims E-prescribe medications to reduce errors Self-disclose
overpayments within 90 days
Answer:
Bring a whistleblower action DRA also requires that providers who have more than $5 million dollars
either received or paid to the reimbursement from state Medicaid programs to provide training and
educate employees on the FCA and inform employees of their ability to bring a whistleblower action.
, Question:
The BBA of 1997 created an alternate sanction allowing the government to levy a civil fine of up to how
much for each violation of the Anti-Kickback Statute? $20,000, and an assessment of three times the
amount of the kickback $50,000, and an assessment of three times the amount of the kickback $75,000,
and an assessment of three times the amount of the kickback $100,000, and an assessment of three times
the amount of the kickback
Answer:
$50,000, and an assessment of three times the amount of the kickback The government may levy a civil
fine of up to $50,000 for each violation of the Anti-Kickback Statute, and an assessment of three times
the amount of the kickback.
Question:
Under what circumstances can a relator not file or pursue a qui tam action? If they are a new employee
The qui tam action is based upon information that has been disclosed to the public The government
already is a party to a civil or administrative money proceeding Both b and c
Answer:
Both b and c The FCA provides several circumstances when a relator cannot file or pursue a qui tam
action:1 - The relator was convicted of criminal conduct arising from his or her role in the FCA
violation2 - Another qui tam concerning the same conduct already has been filed (this is known as the
"first to file bar")3 - The government already is a party to a civil or administrative money proceeding
concerning the same conduct4 - The qui tam action is based upon information that has been disclosed to
the public through any of several means: criminal, civil, or administrative hearings in which the
government is a party, government hearings, audits, reports, or investigations, or through the news media
(this is known as the "public disclosure bar"). There is an exception to the public disclosure bar where the
relator was the original source of the information.
Question:
Which of the following represents a violation of the Stark Law? the referring physician, or an immediate
member of the referring physician's family, has a financial relationship with the entity receiving the
referral. the referring physician's best friend from medical school owns the entity receiving the referral.
the referring physician's neighbor owns the entity receiving the referral.
Answer:
Updated Study Material 2026
Question:
If a group pays a hospital monthly rent for office space that is one-half the going rate or fair market
value, this is a violation of which regulation? Stark Law FCA CMS guidelines Anti-Kickback Statute
Answer:
Anti-Kickback Statute Examples of anti-kickback statute violations:- A hospital providing rental rates
below fair market value to a physician who refers business to the hospital- Routine waiver of copayments
or deductibles for patients under Medicare Part B- A drug or equipment supplier providing free benefits
to a provider who utilizes their product- A physician who is paid exorbitantly for speaking engagements
by a company to whom the provider refers business
Question:
The RICO Act is a law that increases the severity of penalties for violations of what? HIPAA Human
resources Organized crime Improper claim submissions
Answer:
Organized crime The RICO Act is a law that increases the severity of penalties for violations involving
organized crime.
Question:
Deficit Reduction Act (DRA) requires that providers who have more than $5 million either received or
paid to the reimbursement from state Medicaid programs inform employees of their ability to ? Bring a
whistleblower action File paper claims E-prescribe medications to reduce errors Self-disclose
overpayments within 90 days
Answer:
Bring a whistleblower action DRA also requires that providers who have more than $5 million dollars
either received or paid to the reimbursement from state Medicaid programs to provide training and
educate employees on the FCA and inform employees of their ability to bring a whistleblower action.
, Question:
The BBA of 1997 created an alternate sanction allowing the government to levy a civil fine of up to how
much for each violation of the Anti-Kickback Statute? $20,000, and an assessment of three times the
amount of the kickback $50,000, and an assessment of three times the amount of the kickback $75,000,
and an assessment of three times the amount of the kickback $100,000, and an assessment of three times
the amount of the kickback
Answer:
$50,000, and an assessment of three times the amount of the kickback The government may levy a civil
fine of up to $50,000 for each violation of the Anti-Kickback Statute, and an assessment of three times
the amount of the kickback.
Question:
Under what circumstances can a relator not file or pursue a qui tam action? If they are a new employee
The qui tam action is based upon information that has been disclosed to the public The government
already is a party to a civil or administrative money proceeding Both b and c
Answer:
Both b and c The FCA provides several circumstances when a relator cannot file or pursue a qui tam
action:1 - The relator was convicted of criminal conduct arising from his or her role in the FCA
violation2 - Another qui tam concerning the same conduct already has been filed (this is known as the
"first to file bar")3 - The government already is a party to a civil or administrative money proceeding
concerning the same conduct4 - The qui tam action is based upon information that has been disclosed to
the public through any of several means: criminal, civil, or administrative hearings in which the
government is a party, government hearings, audits, reports, or investigations, or through the news media
(this is known as the "public disclosure bar"). There is an exception to the public disclosure bar where the
relator was the original source of the information.
Question:
Which of the following represents a violation of the Stark Law? the referring physician, or an immediate
member of the referring physician's family, has a financial relationship with the entity receiving the
referral. the referring physician's best friend from medical school owns the entity receiving the referral.
the referring physician's neighbor owns the entity receiving the referral.
Answer:
